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BRENDA LICON
NPI 1386913838
Dentist - Oral and Maxillofacial Surgery in Tijuana, BC

Active since December 28, 2011
9360-204 I COMONFORT AVE, TIJUANA, BC 22000(664) 684-7285 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenda Licon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA LICON (NPI 1386913838) is a healthcare organization registered as an oral and maxillofacial surgery in Tijuana, BC and active in the NPI registry since December 2011. The organization lists Alejandro Ramos, Biller, as its authorized official.

NPPES Registry Identity

NPI1386913838
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBRENDA LICON
Location Address9360-204 I COMONFORT AVETijuana, BC 22000
Mailing AddressPo Box 210116Chula Vista, CA 91921-0116
Phone(664) 684-7285
Organization SubpartNo
Authorized OfficialAlejandro RamosBiller · (619) 992-6290
Enumeration DateDecember 28, 2011
✔ NPI 1386913838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ZZ · 3212388
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9360-204 I COMONFORT AVE, Tijuana, BC 22000
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Licon's NPI number?

The NPI number for Brenda Licon is 1386913838. It was assigned to this organization in the NPPES registry on December 28, 2011.

Where is Brenda Licon located?

Brenda Licon is located at 9360-204 I Comonfort Ave, Tijuana, BC 22000. The listed phone number is (664) 684-7285.

What is Brenda Licon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Brenda Licon was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.