Organization
TRUDEAU ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TRUDEAU DDS (ENDODONTIST)
(757) 638-4500
Entity
Organization
Contact information
Practice address
1510 BREEZEPORT WAY, SUITE 400, SUFFOLK, VA 23435-3736
(757) 638-4500
Mailing address
1510 BREEZEPORT WAY, SUITE 400, SUFFOLK, VA 23435-3736
(757) 638-4500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
401411970
VA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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