| John J. Brodner | |
|
399 Tequesta Dr. Suite 103 Tequesta FL 33469-3087 | |
| (561) 746-7600 | |
| (561) 743-9884 |
| Full Name | John J. Brodner |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 399 Tequesta Dr., Tequesta, Florida |
| Authorized Official Name and Position | John Jason Brodner (PRESIDENT) |
| Authorized Official Contact | 5617467600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J. Brodner 399 Tequesta Dr. Suite 103 Tequesta FL 33469-3087 Ph: (561) 746-7600 | John J. Brodner 399 Tequesta Dr. Suite 103 Tequesta FL 33469-3087 Ph: (561) 746-7600 |
| NPI Number | 1104911775 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104911775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14999 (Florida) | Primary |
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