Individual
ADRIANA MORALES BUENDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 S TEXAS AVE, BRYAN, TX 77802-3124
(979) 721-9217
Mailing address
3169 NORMANDY WAY, BRYAN, TX 77808-1485
(979) 587-5229
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40336
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
04/15/2024
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