Organization
DRS.BROKAW AND GERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA BARTLETT (OFFICE MANAGER)
(815) 284-6807
Entity
Organization
Contact information
Practice address
123 N HENNEPIN AVE, DIXON, IL 61021-2010
(815) 284-6807
Mailing address
123 N HENNEPIN AVE, DIXON, IL 61021-2010
(815) 284-6807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019018857
IL
122300000X
Dentist
019019615
IL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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