NPI 1003647132
Brenda Hernandez Moctezuma
Practice location
- Address
- 3302 Gaston Ave, Dallas, TX 75246-2013
- Phone
- (214) 828-8100
- Mailing address
- 4221 Rosehill Rd APT 2, Garland, TX 75043-2544
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1003647132
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Aug 2024
- Record last updated
- 10 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.