Organization
CURTIS A BROOKOVER, DDS, PC
Active
Other names
Alpine Laser Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS BROOKOVER DDS (OWNER/DENTIST)
(505) 662-4503
Entity
Organization
Contact information
Practice address
3491 TRINITY DR, LOS ALAMOS, NM 87544-2398
(505) 662-4503
Mailing address
3491 TRINITY DR, LOS ALAMOS, NM 87544-2398
(505) 662-4503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1956
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X
DENTIST
NM
Enumeration date
09/30/2013
Last updated
09/30/2013
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