Organization · Type 2 NPI
Matthew R. Brokaw, D.d.s., P.c.
Dental Clinic/Center · Glen Allen, VA
NPI number
1326230772
Active
Practice location
4924 Dominion Blvd, Suite B
Glen Allen, VA 23060-6766
Fax (804) 965-0581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401008695 (VA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1326230772
Matthew R. Brokaw, D.d.s., P.c.'s National Provider Identifier is 1326230772, issued on Aug 9, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glen Allen, VA. The record was last updated on Nov 4, 2014.