Individual provider · NPI-1

Jamie Brotherton

Dentist, General Practice · Thornton, CO

NPI number1922278902
StatusActive
Last updated in NPPESMar 6, 2008

Details

NPI
1922278902
Entity type
Individual (NPI-1)
Name
Jamie Brotherton
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2008
Last updated
Mar 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9429COYes

Practice location

4243 E 136th Ave
Thornton, CO 80602-6916

Phone 720-274-1380 · Fax 720-274-1381

Mailing address

4243 E 136th Ave
Thornton, CO 80602-6916

Phone 720-274-1380 · Fax 720-274-1381

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