| NPI | 1417304742 |
|---|---|
| Doing Business As | BRORSEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RUSSELL BRORSEN Owner 405-372-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 6472) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |