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Organization
JACOB BROTZMAN DMD PLLC
Active
Organization
JACOB BROTZMAN DMD PLLC
Active
Other names
Restoration Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BROTZMAN DMD (GENERAL DENTIST)
(919) 961-8552
Entity
Organization
Contact information
Practice address
4721 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3521
(919) 961-8552
Mailing address
14 E DEVONSHIRE ST, WINSTON SALEM, NC 27127-3033
(919) 961-8552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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