CHRISTIAN BRENES VEGA

AUGUSTA, GA
NPI1912319542
Professional NameCHRISTIAN BRENES
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DNF000394)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  150861)
122300000X Dentist
(Licence: TX  30425)
Enumeration Date2014-06-02
Last Update Date2016-10-19
Business Address
Dr. CHRISTIAN BRENES VEGA DDS
1430 JOHN WESLEY GILBERT DR GC-3224
AUGUSTA, GA 30912-0001
Phone number: 706-721-8235
Mailing Address
Dr. CHRISTIAN BRENES VEGA DDS
1430 JOHN WESLEY GILBERT DR GC-3224
AUGUSTA, GA 30912-0001
Phone number: 706-721-8235