Organization
NEIL M BRODSKY DDS PA
Active
Other names
Lifeway Dental Connections
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL M BRODSKY DDS (OWNER)
(727) 548-5454
Entity
Organization
Contact information
Practice address
9303 SEMINOLE BLVD, #D, SEMINOLE, FL 33772-3100
(727) 548-5454
Mailing address
9303 SEMINOLE BLVD, #D, SEMINOLE, FL 33772-3100
(727) 548-5454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0012131
FL
Other
Enumeration date
01/09/2007
Last updated
04/26/2011
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