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Individual
DR. BRETT DAVID MADERE
Active
Individual
DR. BRETT DAVID MADERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235264367
CORPORATE NPI
LA
Enumeration date
05/24/2013
Last updated
05/24/2013
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