IndividualActive
Brandon Penaz, DDS
NPI 1538428909 · Dentist · Waconia, MN
Provider details
- NPI number
- 1538428909
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 13072 (MN)
Specialties & taxonomies
Dental Providers
Practice location
8775 Airport Rd
Waconia, MN 55387-9634
Phone: (952) 239-2664
Approximate (ZIP-level) locationGet directions
Mailing address
8775 Airport Rd
Waconia, MN 55387-9634
Registry dates
- Enumerated
- 2012-05-04
- Last updated
- 2012-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.