Individual
DANIEL JOSEPH BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8476 SIMMOND ST, U.S. ARMY DENTAL ACTIVITY, FORT MEADE, MD 20755-7083
(301) 677-5922
Mailing address
7556 HONEYCUTT RD, FORT BRAGG, NC 28307
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10379
SC
Other
Enumeration date
08/01/2013
Last updated
03/14/2023
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