Provider Demographics
NPI:1801844196
Name:BREZDEN, NATALYA ANNETTE (DDS PLLC)
Entity Type:Individual
Prefix:DR
First Name:NATALYA
Middle Name:ANNETTE
Last Name:BREZDEN
Suffix:
Gender:F
Credentials:DDS PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G6221 W PIERSION RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2338
Mailing Address - Country:US
Mailing Address - Phone:810-733-2700
Mailing Address - Fax:810-733-3638
Practice Address - Street 1:G6221 W PIERSION RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2338
Practice Address - Country:US
Practice Address - Phone:810-733-2700
Practice Address - Fax:810-733-3638
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI015432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist