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DR. NICOLAS P. BEBEAU DDS, MD

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1124227475

Individual Registrant:
DR. NICOLAS P. BEBEAU DDS, MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5410 N SCOTTSDALE RD STE B-110  PARADISE VALLEY, AZ 85253-5927 US
Tel: 480-300-7152  Fax: --

Contact information for business:
5410 N SCOTTSDALE RD STE B-110  PARADISE VALLEY, AZ 85253-5927 US
Tel: 480-300-7152  Fax: --

Registration Information:
NPI: 1124227475
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
AZ8403

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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