Individual
PAUL THOMAS BROERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9692 LEVIN RD NW STE 101, SILVERDALE, WA 98383-7801
(360) 692-1208
Mailing address
8884 NW ANDERSON HILL RD, SILVERDALE, WA 98383-7323
(360) 698-6809
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7104
WA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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