Individual
DR. NICHOLAS FRANCIS BREEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7731 RUDDEROW AVE, PENNSAUKEN, NJ 08109-3315
(609) 471-4191
Mailing address
7731 RUDDEROW AVE, PENNSAUKEN, NJ 08109-3315
(609) 471-4191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17104
NJ
122300000X
Dentist
DS026946-L
PA
Other
Enumeration date
04/23/2007
Last updated
07/08/2013
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