| Trudeau Endodontics, Pc | |
|
1510 Breezeport Way Suite 400 Suffolk VA 23435-3736 | |
| (757) 638-4500 | |
| Not Available |
| Full Name | Trudeau Endodontics, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1510 Breezeport Way, Suffolk, Virginia |
| Authorized Official Name and Position | Michael Trudeau (ENDODONTIST) |
| Authorized Official Contact | 7576384500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trudeau Endodontics, Pc 1510 Breezeport Way Suite 400 Suffolk VA 23435-3736 Ph: (757) 638-4500 | Trudeau Endodontics, Pc 1510 Breezeport Way Suite 400 Suffolk VA 23435-3736 Ph: (757) 638-4500 |
| NPI Number | 1164846564 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164846564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 401411970 (Virginia) | Primary |
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