Individual
DR. WILLIAM CARROLL BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
201 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1507
(366) 718-1906
Mailing address
6973 BRIDGEWOOD RD, CLEMMONS, NC 27012-8515
(336) 766-9806
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5379
NC
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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