Individual
DR. BRENNA BRIANNE CARRILLO-ZAZUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3204 N MAIN ST STE 120, FORT WORTH, TX 76106-5900
(817) 380-5574
Mailing address
1960 CLEARVIEW DR, HOLLISTER, CA 95023-5864
(831) 297-3777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33526
TX
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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