Organization
RUSSELL C. BRORSEN, D.D.S., P.L.L.C.
Active
Other names
Brorsen Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL BRORSEN D.D.S. (OWNER)
(405) 372-7474
Entity
Organization
Contact information
Practice address
104 E MCELROY RD, STILLWATER, OK 74075-3803
(405) 372-7474
(405) 372-7429
Mailing address
104 E MCELROY RD, STILLWATER, OK 74075-3803
(405) 372-7474
(405) 372-7429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6472
OK
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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