Individual
DR. ROB M BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1902 N TRACY BLVD, TRACY, CA 95376-2423
(209) 832-1242
Mailing address
2619 VISTA DIABLO CT, PLEASANTON, CA 94566-7033
(925) 462-9540
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
31444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31444
DENTAL LICENSE
CA
Enumeration date
09/13/2005
Last updated
07/08/2007
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