Individual
ALYSSA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
Mailing address
309 ROMEO RD, ROCHESTER, MI 48307-1561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016413
MI
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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