Organization
MICHAEL D BROOKS DMD, MS, PLLC
Active
Other names
PENINSULA PROSTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D BROOKS DMD, MS, PLLC (OWNER)
(360) 779-7414
Entity
Organization
Contact information
Practice address
19365 7TH AVE NE STE 114, POULSBO, WA 98370-7441
(360) 779-7414
(360) 779-7732
Mailing address
19365 7TH AVE NE STE 114, POULSBO, WA 98370-7441
(360) 779-7414
(360) 779-7732
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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