Individual
MR. ZANE TYLER BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 MAIN STREET, JAFFREY, NH 03452
(603) 532-8720
(603) 532-5618
Mailing address
123 MAIN STREET, JAFFREY, NH 03452
(603) 532-8720
(603) 532-5618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3238
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912898
UNITED CONCORDIA INSURANC
—
05
—
30304536
—
NH
01
—
ZHA020
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/18/2007
Last updated
07/08/2007
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