Provider Demographics
NPI:1609926922
Name:LANDEROS, BRENDA ELIZABETH (BS, DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:ELIZABETH
Last Name:LANDEROS
Suffix:
Gender:F
Credentials:BS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 S 1ST ST
Mailing Address - Street 2:STE 102
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:210-884-9137
Mailing Address - Fax:
Practice Address - Street 1:202 S 1ST ST
Practice Address - Street 2:STE 102
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-423-0191
Practice Address - Fax:956-423-0797
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX228821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice