# DRBROOKSBY.COM,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sequim Advanced Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649827932
- **Authorized official:** DR. LYLE SCOTT BROOKSBY DDS (PRESIDENT)
- **Authorized official phone:** (702) 274-6700

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2019
- **Last updated:** 08/21/2019