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DR. MICHAEL BRUNNER DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1003947292

Individual Registrant:
DR. MICHAEL  BRUNNER DDS
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

Contact information for business:
PO BOX 823  HEALDSBURG, CA 95448-0823 US
Tel: 707-433-1881  Fax: 707-433-0796

Registration Information:
NPI: 1003947292
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA35077

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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