Individual
DR. BRENT DOUGLAS DUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 RANCH ROAD 620 S STE B6, LAKEWAY, TX 78734-6346
(512) 263-0064
(909) 558-6469
Mailing address
1310 RANCH ROAD 620 S STE B6, LAKEWAY, TX 78734-6346
(512) 263-0064
(909) 558-6469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33633
TX
1223G0001X
General Practice Dentistry
36077
CA
Other
Enumeration date
06/26/2006
Last updated
04/14/2023
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