NPI | 1912319542 |
---|---|
Professional Name | CHRISTIAN BRENES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DNF000394) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 150861) |
122300000X Dentist (Licence: TX 30425) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2016-10-19 |