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1548301153
BENNETT ROY BRODWIN
BERKELEY, CA
NPI
1548301153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 29215)
Enumeration Date
2007-02-08
Last Update Date
2013-08-28
Business Address
Dr. BENNETT ROY BRODWIN DMD
900 COLUSA AVE SUITE 205A
BERKELEY, CA 94707-2319
Phone number: 510-525-4847
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Mailing Address
Dr. BENNETT ROY BRODWIN DMD
900 COLUSA AVE SUITE 205A
BERKELEY, CA 94707-2319
Phone number: 510-525-4847
Copy
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