Bennett Roy Brodwin, DMD Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1548301153
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 29215 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-08
- Last updated
- 2013-08-28
Practice location
900 Colusa Ave, Suite 205a
Berkeley, CA 94707-2319
(510) 525-4847