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Jon Brott Valid NPI

Individual provider · General Practice Dentistry · Manhattan, KS

NPI
1487782108
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
5605 (WI)
Sex
Male
Sole proprietor
No
Enumerated
2007-03-02
Last updated
2016-05-19
Practice location
2745 Pembrook Place
Manhattan, KS 66502
(785) 539-4601

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