Organization
JOHN J. BRODNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JASON BRODNER D.M.D. (PRESIDENT)
(561) 746-7600
Entity
Organization
Contact information
Practice address
399 TEQUESTA DR., SUITE 103, TEQUESTA, FL 33469-3087
(561) 746-7600
(561) 743-9884
Mailing address
399 TEQUESTA DR., SUITE 103, TEQUESTA, FL 33469-3087
(561) 746-7600
(561) 743-9884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14999
FL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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