Individual
BRENDA M MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16238 REDSTONE WAY, ODESSA, FL 33556-4668
(813) 822-0477
Mailing address
16238 REDSTONE WAY, ODESSA, FL 33556-4668
(843) 338-0023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37418
TX
122300000X
Dentist
Primary
DN28872
FL
Other
Enumeration date
07/02/2021
Last updated
08/05/2026
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