Individual
JOHN ROBERT BROKENSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
769 BLOOM RD, DANVILLE, PA 17821-1364
(570) 275-1451
(570) 271-1533
Mailing address
769 BLOOM RD, DANVILLE, PA 17821-1364
(570) 275-1451
(570) 271-1533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024189L
PA
Other
Enumeration date
04/16/2007
Last updated
04/29/2020
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