Individual
DANIEL W BROCKMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1631 A EAST HWY 66, EL RENO, OK 73036
(405) 262-7631
(405) 262-8099
Mailing address
5821 NW 62ND ST, WARR ACRES, OK 73122-7345
(405) 262-7631
(405) 262-8099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5260
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305260
—
OK
Enumeration date
01/23/2007
Last updated
07/09/2007
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