Individual
ADELA BRODEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8432
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 562-8432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001887-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001887-15
WI LICENSE
WI
Enumeration date
07/05/2018
Last updated
07/05/2018
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