DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRANDON JAMES PENAZ, DDS

Active

DR. BRANDON JAMES PENAZ, DDS is a Dentist healthcare provider located in WACONIA, Minnesota. NPI 1538428909 is currently active in the NPPES registry. Verify at CMS.

Dentist · WACONIA, MN

Registration Details

NPI Number
1538428909
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2012 (14.319369665174 yrs)
Last Updated
Jun 29, 2012
License
13072 (MN)

Practice Information

Address
8775 AIRPORT RD
WACONIA, MN, 553879634
Browse MN providers · Browse ZIP 55387
Phone
9522392664
Primary Specialty
Dentist
122300000X

Other Dentist Providers in WACONIA, MN

Name Credential NPI
DR. MARK F BRADSHAW DDS 1114141595
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.