Individual
DR. ROBERT GEORGE BROCKWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 NW 2ND ST., FULDA, MN 56131-0288
(507) 425-2276
Mailing address
106 NW SECOND ST., FULDA, MN 56131-0288
(507) 425-2276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8209
MN
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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