Craig J Brandenburg, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Spring Park, MN
- NPI
- 1912060674
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D9418 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-17
- Last updated
- 2007-07-08
Practice location
4165 Shoreline Dr, Suite 30
Spring Park, MN 55384-9659
(952) 471-0047