Organization
BRADLEY NIRENBLATT, D.M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY NIRENBLATT (PRESIDENT)
(843) 572-1060
Entity
Organization
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
09/02/2006
Last updated
10/18/2007
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