Individual
MR. BRIAN DEAN WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 GIBRALTAR LN, LORENA, TX 76655-4060
(254) 857-3702
Mailing address
605 GIBRALTAR LN, LORENA, TX 76655-4060
(254) 857-3702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092957202
—
TX
Enumeration date
08/19/2006
Last updated
08/08/2012
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