Individual
JACOB BROTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 LOCKLAND AVE, WINSTON SALEM, NC 27103-2709
(336) 722-7534
Mailing address
500 TREYBROOKE CIR APT 31, GREENVILLE, NC 27834-7893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12284
NC
Other
Enumeration date
04/23/2021
Last updated
06/23/2021
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