Individual
MS. INELL DENISE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
000
Contact information
Practice address
415 CREEK ST APT B, COPPERAS COVE, TX 76522-2450
(254) 466-4925
Mailing address
415 CREEK ST APT B, COPPERAS COVE, TX 76522-2450
(254) 466-4925
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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