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Individual

DR. ADAM PATENAUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
4828 COLUMBIA AVE STE 100, DALLAS, TX 75226-1011
(214) 823-0202
Mailing address
1801 CANAL CT, HEATH, TX 75126-1279
(413) 246-0126

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
33893
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33893
TX

Other

Enumeration date
05/21/2018
Last updated
03/10/2022
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