Samantha E Brenner D.D.S.

NPI 1104138684 - Dentist - 1223G0001X

NPI Details
NPI 1104138684
Gender Female
Enumeration Date 07/13/2010
Last Updated 07/13/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
337 15TH ST
SANTA MONICA CA, 90402-2211, US
Phone (203) 520-1339
Fax
Business Location
337 15TH ST
SANTA MONICA CA, 90402-2211, US
Phone (203) 520-1339
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 58552
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According to our database, Dr. Samantha E Brenner D.D.S. NPI is 1104138684, taxonomy code is 1223G0001X and license number is 58552, license state is located at California. Samantha E Brenner D.D.S. physically located at 337 15th St, Santa Monica CA, 90402-2211. NPI Number Samantha E Brenner D.D.S. has the Individual type.

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1104138684 NPI number is provided on an as is basis without warranty of any kind. 1104138684 is maintained by the National Plan & Provider Enumeration System. The contents of Samantha E Brenner D.D.S. are for informational purposes only.