Individual
AARON BROOKSBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 N PEACHTREE AVE, COOKEVILLE, TN 38501-2548
(931) 303-0004
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0000011644
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
05/23/2023
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