Organization
DAVID R. BROSTOWITZ, DDS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BROSTOWITZ DDS (PRESIDENT)
(715) 582-3601
Entity
Organization
Contact information
Practice address
141 W FRONT ST, PESHTIGO, WI 54157-1421
(715) 582-3601
Mailing address
141 W FRONT ST, PESHTIGO, WI 54157-1421
(715) 582-3601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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