Organization
PAUL C BROOKS DMD. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CEPHUS BROOKS III DMD (OWNER)
(502) 585-3929
Entity
Organization
Contact information
Practice address
3600 LEXINGTON RD, LOUISVILLE, KY 40207-2938
(502) 585-3926
Mailing address
3600 LEXINGTON RD, LOUISVILLE, KY 40207-2938
(502) 585-3926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6247
KY
Other
Enumeration date
02/12/2015
Last updated
10/01/2015
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