Individual
BRENNA SURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4405 WILLIAMS DR STE 300, GEORGETOWN, TX 78628-1391
(512) 686-2525
Mailing address
3309 VISTA HEIGHTS DR, LEANDER, TX 78641-3218
(512) 689-5672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31951
TX
Other
Enumeration date
07/01/2016
Last updated
01/11/2024
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