Individual
DR. LARRY THOMAS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4306 W EL PRADO BLVD, TAMPA, FL 33629-8405
(813) 839-8730
(813) 839-4707
Mailing address
4306 W EL PRADO BLVD, TAMPA, FL 33629-8405
(813) 839-8730
(813) 839-4707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN4861
FL
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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