Organization
JOHN C BRUMMER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C BRUMMER DDS (ORTHODONTIST)
(410) 409-9501
Entity
Organization
Contact information
Practice address
6304 KENWOOD AVE STE 5, ROSEDALE, MD 21237-4918
(410) 866-3630
Mailing address
3511 CEDAR HAMMOCK VIEW CT, FORT MYERS, FL 33905-5869
(410) 409-9501
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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