Individual
DR. DIANE ZYBKO BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2039 MEDICAL PARK DR, NEWBERRY, SC 29108-2249
(803) 276-3371
Mailing address
323 KOON TRESTLE RD, POMARIA, SC 29126-8979
(843) 687-5902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9569
SC
Other
Enumeration date
03/03/2020
Last updated
03/25/2020
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