DR. Kim Lawrence Brokaw, D.D.S,

NPI #1285787846 in Dixon, Illinois

Provider Information

NPI Number
1285787846
Entity Type
Individual
Name
DR. Kim Lawrence Brokaw, D.D.S,
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S,
Enumeration Date
Jan 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
123 N HENNEPIN AVE
City
Dixon
ZIP Code
61021-2010
Phone
(815) 284-6807

Specialties & Taxonomy Codes

Specialty
Dentist

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