Individual
DR. BRIELLE DAVEREDE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
815 N ALSTON ST, FOLEY, AL 36535-3509
(251) 943-8547
Mailing address
5213 HICKORY LN, ORANGE BEACH, AL 36561-4003
(504) 228-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0006771
AL
Other
Enumeration date
07/02/2020
Last updated
08/18/2022
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