Individual
BROOKS MICHAEL LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
235 S FLOWER AVE, BREA, CA 92821-4945
(714) 256-9332
(714) 256-9330
Mailing address
235 S FLOWER AVE, BREA, CA 92821-4945
(714) 256-9332
(714) 256-9330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54275
CA
Other
Enumeration date
01/28/2009
Last updated
01/12/2010
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