Individual
LINDA MARIE BREZAUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6985 COUNTY ROAD 327, GARRETT, IN 46738-9765
(260) 637-8556
Mailing address
14932 LIMA RD, HUNTERTOWN, IN 46748-9275
(260) 637-5848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008963
IN
Other
Enumeration date
05/02/2007
Last updated
07/09/2007
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