Brenyo, Michael Roderick

Brenyo, Michael Roderick is an individual health care provider with primary practice located at Psc 557, Box 1207 , Fpo AP 96379-1207. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Brenyo, Michael Roderick can be contacted via phone 011816117468298.

Contact Information

Primary practice address
Psc 557, Box 1207 Fpo AP 96379-1207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 10387 Maryland
Dental Providers / Prosthodontics 1223P0700X DS024094L Pennsylvania
Dental Providers / Prosthodontics 1223P0700X 0401008419 Virginia

Profile Details

NPI number 1740267517
LBN Legal business name Brenyo, Michael Roderick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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