NPI | 1700576527 |
---|---|
Doing Business As | BRENT HUCKABAY DDS |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA ROCHA Credentialing Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-05-15 |
Last Update Date | 2023-05-15 |