Alex Wilson Broesder, DDS Valid NPI

Individual provider · Dentist · Sioux Falls, SD

NPI

1326601352

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D1234 (SD)

Sex

Male

Sole proprietor

No

Enumerated

2019-04-16

Last updated

2019-06-24