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Individual

PATRICK R BREAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,PA

Contact information

Practice address
1412 PELHAM RD, GREENVILLE, SC 29615-3921
(864) 234-7023
(864) 458-7650
Mailing address
1412 PELHAM RD, GREENVILLE, SC 29615-3921
(864) 234-7023
(864) 458-7650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2563
SC

Other

Enumeration date
02/03/2009
Last updated
02/03/2009
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