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DR. CHARLES D BRODSKY D.D.S, M.S.D.
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1811059496
Individual Registrant:DR. CHARLES D BRODSKY D.D.S, M.S.D.
Gender: M
Not Sole Proprietor
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
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
Tel: 562-496-2000 Fax: 562-497-2064
Registration Information:
NPI: 1811059496
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | CA | 50214 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
