Individual
MS. ROBERTA JO BROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1215 N 15TH ST, CANON CITY, CO 81212-4620
(719) 269-7194
Mailing address
3202 N 5TH ST, CANON CITY, CO 81212
(719) 671-5110
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH903830
CO
Other
Enumeration date
01/18/2008
Last updated
08/29/2017
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