DR. Mark James Broomhead, DDS
NPI #1831531706 in South Holland, Illinois
Provider Information
- NPI Number
- 1831531706
- Entity Type
- Individual
- Name
- DR. Mark James Broomhead, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 22, 2013
- Last Updated
- Jul 22, 2013
Practice Location
- Address
- 615 E 162ND ST
- City
- South Holland
- State
- Illinois
- ZIP Code
- 60473-2329
- Phone
- (773) 817-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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