Organization
BREDAU DENTAL LTD
Active
Other names
Bredau Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVINIU BREDAU DDS (PRESIDENT)
(773) 742-6038
Entity
Organization
Contact information
Practice address
5400 N MILWAUKEE AVE STE A, CHICAGO, IL 60630-1289
(773) 853-2380
Mailing address
3212 RAYMOND AVE, BROOKFIELD, IL 60513-1248
(773) 742-6038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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