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Individual

DR. BRETT A. PAREDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.D.

Contact information

Practice address
209 HARVARD ST FL 2, BROOKLINE, MA 02446-5071
(617) 731-5437
Mailing address
99 NEEDHAM ST APT 1204, NEWTON, MA 02461-1641
(786) 457-5160

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN 16497
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1859060
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61002
BLUE CROSS/SHIELD
FL
Enumeration date
08/19/2005
Last updated
04/11/2023
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