Individual
DR. BRENT J BRACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2461 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4020
(954) 771-5303
(954) 771-2032
Mailing address
2461 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4020
(954) 771-5303
(954) 771-2032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 10456
FL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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