Individual
RICHARD BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 PRESTON EXECUTIVE DR, SUITE 100, CARY, NC 27513-8445
(919) 468-9775
(919) 468-5001
Mailing address
120 PRESTON EXECUTIVE DR, SUITE 100, CARY, NC 27513-8445
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899001W
—
NC
Enumeration date
04/19/2007
Last updated
07/08/2007
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