Dr.kenbroshddspc

NPI #1134399421 in Mascoutah, Illinois

Provider Information

NPI Number
1134399421
Entity Type
Organization
Organization Name
Dr.kenbroshddspc
Primary Specialty
Point of Service
Enumeration Date
Mar 3, 2008
Last Updated
Mar 3, 2008

Practice Location

Address
1180 N 6TH ST
ZIP Code
62258-1178
Phone
(618) 566-7000

Authorized Official

Name
DR. KEN NEAL BROSH, DDS
Title
PRES.
Phone
(618) 566-7000

Specialties & Taxonomy Codes

Specialty
Point of Service

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