Individual
DR. BRETT A. PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
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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