Individual
BRENNA ROUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 567-7000
Mailing address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40628
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2023
Last updated
07/08/2024
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