Organization
BROCKMAN FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD BROCKMAN JR. D.D.S. (DENTIST PRESIDENT)
(303) 799-4333
Entity
Organization
Contact information
Practice address
10450 PARK MEADOWS DR, SUITE 304, LONE TREE, CO 80124-5529
(303) 799-4333
(303) 799-7931
Mailing address
10450 PARK MEADOWS DR, SUITE 304, LONE TREE, CO 80124-5529
(303) 799-4333
(303) 799-7931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8132
CO
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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