Carrillo-Zazueta, Brenna Brianne
Carrillo-Zazueta, Brenna Brianne is an sole proprietor health care provider with primary practice located at 3204 N Main St Ste 120 , Fort Worth TX 76106-5900. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Carrillo-Zazueta, Brenna Brianne can be contacted via phone (817) 380-5574.Contact Information
Primary practice address
3204 N Main St Ste 120
Fort Worth TX 76106-5900
Phone: (817) 380-5574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 33526 | Texas |
Profile Details
| NPI number | 1770093924 |
|---|---|
| LBN Legal business name | Carrillo-Zazueta, Brenna Brianne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2017 |
| Last updated | Oct 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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