Individual
DR. BRIAN RETHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1394
Mailing address
3551 ROGER BROOKE DR9, DEPT. OF ORAL & MAXILLOFACIAL SURGERY, APO, AA 78219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D009051
AZ
1223G0001X
General Practice Dentistry
D009051
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
38032
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D009051
AZ
Other
Enumeration date
03/13/2015
Last updated
03/28/2024
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