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DR. BRENDA MICHELLE RIELS D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1871614214

Individual Registrant:
DR. BRENDA MICHELLE RIELS D.D.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2720 HWY 79 E.  JEWETT, TX 75846 US
Tel: 903-626-5196  Fax: 903-626-5513

Contact information for business:
PO BOX 730  JEWETT, TX 75846-0730 US
Tel: 903-626-5196  Fax: 903-626-5513

Registration Information:
NPI: 1871614214
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
TX15085

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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