Individual
BRENT DANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 W US HIGHWAY 82, NEW BOSTON, TX 75570-2804
(903) 628-5437
Mailing address
112 W US HIGHWAY 82, NEW BOSTON, TX 75570-2804
(903) 628-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
36147
TX
1223P0221X
Pediatric Dentistry
4417
AR
Other
Enumeration date
04/17/2018
Last updated
12/06/2022
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