BRENT DELONG
Dentist at Anderson Ln, Austin, TX

License number
Texas 30551
Category
Dentist
Type
Oral and Maxillofacial Surgery
Address
Address 2
2700 W Anderson Ln #418, Austin, TX 78757
1115 S Alamo St UNIT 2314, San Antonio, TX 78210
Phone
(858) 243-7616
National Provider ID: 1952628257
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRENT DELONG at bizstanding.com

BRENT DELONG PLLC

1115 S Alamo St UNIT 2314, San Antonio, TX 78210

Registration:
Jan 9, 2015
State ID:
0802132846
Agent:
Brent Delong,1115 S Alamo St UNIT 2314, San Antonio, TX 78210 (Physical)
TIN:
32056091401

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