DR. NADINE BRODALA, DDS, MS, DMD

Dentist

Active Individual
NPI: 1417005109

Practice Address

25 E WASHINGTON ST
1125
Chicago, IL 60602

Phone: (312) 641-2572

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X No DE9503 (WA)
Dentist 122300000X Yes 019028809 (IL)

Frequently Asked Questions

NPI 1417005109 is the National Provider Identifier for DR. NADINE BRODALA, DDS, MS, DMD, a Dentist provider located in Chicago, IL. This NPI was enumerated on January 8, 2007.
DR. NADINE BRODALA, DDS, MS, DMD practices at 25 E WASHINGTON ST, 1125, Chicago, IL 60602.

Quick Facts

NPI
1417005109
Type
Individual
Enumerated
Jan 8, 2007
Last Updated
Aug 19, 2011

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