Individual
BRADLEY NIRENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2680 ELMS PLANTATION BLVD, SUITE 102, NORTH CHARLESTON, SC 29406-7101
(843) 572-1060
(843) 863-9735
Mailing address
2680 ELMS PLANTATION BLVD, SUITE 102, NORTH CHARLESTON, SC 29406-7101
(843) 572-1060
(843) 863-9735
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0400
SC
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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