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Individual

DR. NICHOLAS BRASSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
8244 E US HIGHWAY 36 STE 1330, AVON, IN 46123-9688
(317) 272-4755
Mailing address
8244 E US HIGHWAY 36 STE 1330, AVON, IN 46123-9688

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013094A
IN

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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