Individual
DR. MICHELE BRODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 5C, WILMINGTON, DE 19806-1392
(302) 652-1533
Mailing address
2300 PENNSYLVANIA AVE, SUITE 5C, WILMINGTON, DE 19806-1392
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G1-0001021
DE
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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