Individual
STEFANIA BRAZZOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
240 S 40TH ST FL 2, PHILADELPHIA, PA 19104-6030
(215) 573-4862
Mailing address
240 S 40TH ST FL 2, PHILADELPHIA, PA 19104-6030
(215) 573-4862
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
RFD000059
PA
Other
Enumeration date
04/04/2023
Last updated
12/12/2023
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