Individual
DR. KURT JEFFREY BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6395 S MCCARRAN BLVD, SUITE B, RENO, NV 89509
(775) 823-9419
Mailing address
506 CATHERINE DR, PO BOX 3914, INCLINE VILLAGE, NV 89450-3914
(858) 922-7928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
036137
CA
1223G0001X
General Practice Dentistry
Primary
6700
NV
Other
Enumeration date
01/30/2006
Last updated
08/07/2015
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