Organization
BRETT D MADERE DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT D MADERE DDS (GENERAL DENTIST)
(985) 536-3193
Entity
Organization
Contact information
Practice address
190 CENTRAL AVENUE RESERVE LA, RESERVE, LA 70084
(985) 536-3193
Mailing address
190 CENTRAL AVENUE RESERVE LA, PO DRAWER O RESERVE LA, RESERVE, LA 70084
(985) 536-3193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LA 4435
LA
Other
Enumeration date
02/22/2007
Last updated
05/01/2013
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