Jason Neil Broth

NPI #1063670818 in Brooklyn, New York

Provider Information

NPI Number: 1063670818
Entity Type: Individual
Name: Jason Neil Broth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 5520 GLENWOOD RD
City: Brooklyn
State: New York
ZIP Code: 11234-1128
Phone: (718) 763-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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