Mcbroom, Dedric Rolf
Mcbroom, Dedric Rolf is an individual health care provider with primary practice located at 1201 Maine Prairie Rd , Saint Cloud MN 56301-4881. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcbroom, Dedric Rolf can be contacted via phone (320) 252-6233.Contact Information
Primary practice address
1201 Maine Prairie Rd
Saint Cloud MN 56301-4881
Phone: (320) 252-6233
Fax: (320) 252-9261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11233 | Minnesota |
Profile Details
| NPI number | 1871663914 |
|---|---|
| LBN Legal business name | Mcbroom, Dedric Rolf |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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