DR. Brad A Larreau, DDS
NPI #1518948132 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1518948132
- Entity Type
- Individual
- Name
- DR. Brad A Larreau, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 10, 2005
- Last Updated
- Dec 11, 2007
Practice Location
- Address
- 22D MEDICAL GROUP/SGQ
- Address 2
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3506
- Phone
- (316) 759-5181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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