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Organization

DRBROOKSBY.COM,INC

Active
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Organization

DRBROOKSBY.COM,INC

Active
Other names
Sequim Advanced Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYLE SCOTT BROOKSBY DDS (PRESIDENT)
(702) 274-6700
Entity
Organization

Contact information

Practice address
680 W WASHINGTON ST STE E102, SEQUIM, WA 98382-3264
(702) 274-6700
Mailing address
2022 TAYLOR CUTOFF RD, SEQUIM, WA 98382-8294
(702) 274-6700

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL

Other

Enumeration date
08/21/2019
Last updated
08/21/2019
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