Most Relevant Information
Provider Data
| NPI Number: | 1003360769 |
| Provider Name: | INELL DENISE RAY 000 |
| Entity Type: | Individual |
| Taxonomy Code: | 126800000X |
| Specialty: | Dental Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/11/2016 |
| Last Updated: | 08/11/2016 |
Provider Practice Location
415 CREEK ST APT B
COPPERAS COVE
TX
765222450
Practice Location Phone/Fax
| Phone: | 2544664925 |
| Fax: |
Provider Mailing Location
415 CREEK ST APT B
COPPERAS COVE
TX
765222450
Provider Mailing Phone/Fax
| Phone: | 2544664925 |
| Fax: |