Individual
JON BROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2745 PEMBROOK PLACE, MANHATTAN, KS 66502
(785) 539-4601
Mailing address
2745 PEMBROOK PLACE, MANHATTAN, KS 66502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5605
WI
Other
Enumeration date
03/02/2007
Last updated
05/19/2016
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