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DR. CHARLES D BRODSKY D.D.S, M.S.D.

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1811059496

Individual Registrant:
DR. CHARLES D BRODSKY D.D.S, M.S.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5920 DEL AMO BLVD  LAKEWOOD, CA 90713-1949 US
Tel: 562-496-2000  Fax: 562-497-2064

Contact information for business:
5920 DEL AMO BLVD  LAKEWOOD, CA 90713-1949 US
Tel: 562-496-2000  Fax: 562-497-2064

Registration Information:
NPI: 1811059496
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA50214

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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