Maryam Brazdo, Dmd, PA

NPI #1295000339 in Melbourne, Florida

Provider Information

NPI Number: 1295000339
Entity Type: Organization
Organization Name: Maryam Brazdo, Dmd, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 21, 2012
Last Updated: Mar 21, 2012

Practice Location

Address: 1061 S WICKHAM RD
City: Melbourne
State: Florida
ZIP Code: 32904-1652
Phone: (321) 724-1400

Authorized Official

Name: DR. MARYAM BRAZDO, DMD
Title: PRESIDENT
Phone: (321) 243-2030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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