DR. John Richard Brockman JR., D.D.S.

NPI #1538244892 in Lone Tree, Colorado

Provider Information

NPI Number: 1538244892
Entity Type: Individual
Name: DR. John Richard Brockman JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 10450 PARK MEADOWS DR STE 304
City: Lone Tree
State: Colorado
ZIP Code: 80124-5530
Phone: (303) 799-4333

Specialties & Taxonomy Codes

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

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