DR. Brendon Thomas Boerm, DDS

NPI #1477113959 in La Porte City, Iowa

Provider Information

NPI Number: 1477113959
Entity Type: Individual
Name: DR. Brendon Thomas Boerm, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 410 HIGHWAY 218 N
City: La Porte City
State: Iowa
ZIP Code: 50651-1032
Phone: (319) 342-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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