Individual
DR. BRENT J. CALLEGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
9627 BOERNE SPG, BOERNE, TX 78006-9394
(210) 268-9863
Mailing address
9627 BOERNE SPG, BOERNE, TX 78006-9394
(210) 268-9863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16171
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16171
TX
Other
Enumeration date
01/26/2006
Last updated
02/01/2017
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