Individual
BRIAN PETER NADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23RD DENTAL COMPANY, 1591 GRIFFIN ROAD, TWENTYNINE PALMS, CA 92278
(413) 221-8386
Mailing address
23RD DENTAL COMPANY, 1591 GRIFFIN ROAD, TWENTYNINE PALMS, CA 92278
(413) 221-8386
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN1858403
MA
Other
Enumeration date
08/16/2019
Last updated
06/27/2024
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