Individual
DR. RAQUEL CECILIA BRENTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, EL PASO, TX 79906-5327
(915) 742-9810
Mailing address
FORT BLISS DENTAC BLDG 2901 CASSIDY RD., FORT BLISS, TX 79916
(915) 742-2302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN20820
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20820
FL
Other
Enumeration date
08/04/2014
Last updated
04/17/2023
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