Individual
DR. BRADLEY MARC BIRNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5121 SW 90TH AVE, COOPER CITY, FL 33328-3612
(954) 680-2237
(954) 680-4467
Mailing address
5121 SW 90TH AVE, COOPER CITY, FL 33328-3612
(954) 680-2237
(954) 680-4467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10450
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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