Organization
LYNNE S BRODELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE S BRODELL D.D.S. (OWNER)
(301) 729-0444
Entity
Organization
Contact information
Practice address
12600 WINCHESTER RD SW, LAVALE, MD 21502-6551
(301) 729-0444
(301) 729-0404
Mailing address
12600 WINCHESTER RD SW, LAVALE, MD 21502-6551
(301) 729-0444
(301) 729-0404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13274
MD
1223G0001X
General Practice Dentistry
6993
MD
1223G0001X
General Practice Dentistry
Primary
9121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378654400
—
MD
Enumeration date
11/20/2006
Last updated
08/20/2008
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