NPI 1023036910

Michele Broder, DMD

Practitioner Periodontics Wilmington, DE

Practice location

Address: 2300 Pennsylvania Ave Suite 5c, Wilmington, DE 19806-1392
Phone: (302) 652-1533

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence G1-0001021 (DE)

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Registry record

NPI: 1023036910
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.