Individual
DR. MARK RICHARD BROUILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 N BURLINGTON AVE, YORK, NE 68467-3030
(402) 362-3222
Mailing address
622 N BURLINGTON AVE, YORK, NE 68467-3030
(402) 362-3222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DO-8915
AZ
1223G0001X
General Practice Dentistry
5539
NE
Other
Enumeration date
05/23/2007
Last updated
11/04/2025
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