Most Relevant Information
Provider Data
| NPI Number: | 1003487893 |
| Provider Name: | BRENDA M MANZANARES DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 37418 |
Most Important Dates
| Enumeration Date: | 07/02/2021 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
301 W CALTON RD STE 109
LAREDO
TX
780414354
Practice Location Phone/Fax
| Phone: | 9562424245 |
| Fax: |
Provider Mailing Location
301 W CALTON RD STE 109
LAREDO
TX
780414354
Provider Mailing Phone/Fax
| Phone: | 8433380023 |
| Fax: |