Brett D Madere DDS Apc
Dentist in Reserve, LA. Organization (NPI-2).
NPI number1235264367
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1235264367
- Entity type
- Organization (NPI-2)
- Legal business name
- Brett D Madere DDS Apc
- Organization subpart
- No
- Enumeration date
- Feb 22, 2007
- Last updated
- May 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | LA 4435 | LA | Yes |
Practice location
190 Central Avenue Reserve LaReserve, LA 70084
Phone 985-536-3193
Mailing address
190 Central Avenue Reserve LaPo Drawer O Reserve La
Reserve, LA 70084
Phone 985-536-3193
Authorized official
Brett D Madere
General Dentist
9855363193
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