Individual
DR. BENNETT ROY BRODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
900 COLUSA AVE, SUITE 205A, BERKELEY, CA 94707-2319
(510) 525-4847
Mailing address
900 COLUSA AVE, SUITE 205A, BERKELEY, CA 94707-2319
(510) 525-4847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29215
CA
Other
Enumeration date
02/08/2007
Last updated
08/28/2013
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