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Individual

DR. GARY L BRESLAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6117 N COLLEGE AVE, INDIANAPOLIS, ID 46220
(317) 257-3368
(317) 257-5909
Mailing address
6117 N COLLEGE AVE, INDIANAPOLIS, IN 46220-2233
(317) 257-3368
(317) 257-5909

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
12007547A

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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