DR. Brent J Bracco, DDS

NPI #1073721981 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1073721981
Entity Type: Individual
Name: DR. Brent J Bracco, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2461 E COMMERCIAL BLVD
City: Ft Lauderdale
State: Florida
ZIP Code: 33308-4020
Phone: (954) 771-5303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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