Brorsen Family Dental | |
104 E Mcelroy Rd Stillwater OK 74075-3803 | |
(405) 372-7474 | |
(405) 372-7429 |
Full Name | Brorsen Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 104 E Mcelroy Rd, Stillwater, Oklahoma |
Authorized Official Name and Position | Russell Brorsen (OWNER) |
Authorized Official Contact | 4053727474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brorsen Family Dental 104 E Mcelroy Rd Stillwater OK 74075-3803 Ph: (405) 372-7474 | Brorsen Family Dental 104 E Mcelroy Rd Stillwater OK 74075-3803 Ph: (405) 372-7474 |
NPI Number | 1417304742 |
---|---|
Provider Enumeration Date | 05/17/2016 |
Last Update Date | 05/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417304742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6472 (Oklahoma) | Primary |
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› Verified 7 days ago
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