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1114065778
KENNETH N. BRODER
STAMFORD, CT
NPI
1114065778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CT 8127)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. KENNETH N. BRODER D.M.D.
144 MORGAN ST STE 5
STAMFORD, CT 06905-5433
Phone number: 203-327-1167
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Mailing Address
Dr. KENNETH N. BRODER D.M.D.
144 MORGAN ST STE 5
STAMFORD, CT 06905-5433
Phone number: 203-327-1167
Copy
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