| Brenn Orthodontics | |
|
1400 W Olive Ave Ste 101 Burbank CA 91506-2411 | |
| (818) 563-3825 | |
| Not Available |
| Full Name | Brenn Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1400 W Olive Ave Ste 101, Burbank, California |
| Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenn Orthodontics 1400 W Olive Ave Ste 101 Burbank CA 91506-2411 Ph: (818) 563-3825 | Brenn Orthodontics 1400 W Olive Ave Ste 101 Burbank CA 91506-2411 Ph: (818) 563-3825 |
| NPI Number | 1013605963 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013605963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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