Russell C. Brorsen, D.d.s., P.l.l.c.
NPI #1417304742 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1417304742
- Entity Type
- Organization
- Organization Name
- Russell C. Brorsen, D.d.s., P.l.l.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 17, 2016
- Last Updated
- May 17, 2016
Practice Location
- Address
- 104 E MCELROY RD
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74075-3803
- Phone
- (405) 372-7474
Authorized Official
- Name
- DR. RUSSELL BRORSEN, D.D.S.
- Title
- OWNER
- Phone
- (405) 372-7474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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