# BRODOSKI&UBAYDI D,D.S. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326206194
- **Authorized official:** DR. RICHARD VINCENT BRODOSKI D.D.S (DENTIST)
- **Authorized official phone:** (586) 264-2592

## Contact information

- **Practice address:** 4845 E 14 MILE RD, STERLING HEIGHTS, MI 48310-6437
- **Practice address phone:** (586) 264-2592
- **Practice address fax:** (586) 264-2176
- **Mailing address:** 4845 E 14 MILE RD, STERLING HEIGHTS, MI 48310-6437
- **Mailing address phone:** (586) 264-2592
- **Mailing address fax:** (586) 264-2176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 05/29/2008
