Individual
DR. STEPHEN JOSEPH BREAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
4630 50TH ST, STE 505, LUBBOCK, TX 79414-3521
(806) 795-5503
(806) 795-1210
Mailing address
4630 50TH ST, STE 505, LUBBOCK, TX 79414-3521
(806) 795-5503
(806) 795-1210
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11475
TX
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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