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Dr. Roger Joseph Bromaghim, DDS
General Practice Dentistry in Big Lake, Minnesota
NPI 1902937782

Roger Joseph Bromaghim is a General Practice Dentistry based in Big Lake, MN and is specialized in General Practice. Roger Joseph Bromaghim practices in Big Lake, MN and has the professional credentials of DDS. The NPI Number for Roger Joseph Bromaghim is 1902937782 and holds a License No. D9355 (Minnesota).

The current practice location address for Roger Joseph Bromaghim is 16991 198Th Avenue Nw, Big Lake, MN and can be reached out via phone at 763-263-6350 and via fax at 763-263-0136.

Location: 16991 198Th Avenue Nw, Big Lake, MN, 55309-0249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902937782
Provider Name
Roger Joseph Bromaghim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16991 198Th Avenue Nw, Big Lake, MN, 55309-0249
Phone Number
763-263-6350
Fax Number
763-263-0136
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D9355 01 MN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
16991 198Th Avenue Nw
City
Big Lake
State
Minnesota
Zip
55309-0249
Phone Number
763-263-6350
Fax Number
763-263-0136
person
Provider Business Mailing Address Details
Address
16991 198Th Avenue Nw
City
Big Lake
State
Minnesota
Zip
55309-0249
Phone Number
763-263-6350
Fax Number
763-263-0136
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D9355 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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