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DR. MICHAEL BRUNNER DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1003947292
Individual Registrant:DR. MICHAEL BRUNNER DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
606 CENTER ST HEALDSBURG, CA 95448-3603 US
Tel: 707-433-1881 Fax: 707-433-0796
Tel: 707-433-1881 Fax: 707-433-0796
Contact information for business:
PO BOX 823 HEALDSBURG, CA 95448-0823 US
Tel: 707-433-1881 Fax: 707-433-0796
Tel: 707-433-1881 Fax: 707-433-0796
Registration Information:
NPI: 1003947292
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 35077 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
