Organization
JACOB BROTZMAN DMD PLLC
Active
Other names
Restoration Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BROTZMAN DMD (GENERAL DENTIST)
(919) 961-8552
Entity
Organization
Contact information
Practice address
4721 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3521
(919) 961-8552
Mailing address
14 E DEVONSHIRE ST, WINSTON SALEM, NC 27127-3033
(919) 961-8552
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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