Individual
NICOLE ASHLEY BROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11904 W NORTH AVE, WAUWATOSA, WI 53226-2062
(414) 206-3356
Mailing address
11904 W NORTH AVE, WAUWATOSA, WI 53226-2062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001599
WI
Other
Enumeration date
04/04/2024
Last updated
07/02/2024
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