Individual
MS. BROOKE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2146 FERGUSON ROAD, CINCINNATI, OH 45238
(513) 363-8706
Mailing address
2146 FERGUSON ROAD, CINCINNATI, OH 45238
(513) 363-8706
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
51018005
OH
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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