| Drs.brokaw And German | |
|
123 N Hennepin Ave Dixon IL 61021-2010 | |
| (815) 284-6807 | |
| Not Available |
| Full Name | Drs.brokaw And German |
|---|---|
| Speciality | Dentist |
| Location | 123 N Hennepin Ave, Dixon, Illinois |
| Authorized Official Name and Position | Rebecca Bartlett (OFFICE MANAGER) |
| Authorized Official Contact | 8152846807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs.brokaw And German 123 N Hennepin Ave Dixon IL 61021-2010 Ph: (815) 284-6807 | Drs.brokaw And German 123 N Hennepin Ave Dixon IL 61021-2010 Ph: (815) 284-6807 |
| NPI Number | 1114472297 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114472297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019018857 (Illinois) | Primary |
| 122300000X | Dentist | 019019615 (Illinois) | Secondary |
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