Organization
JOSH BROOKS, PLLC
Active
Other names
Columbia Basin Denture Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DANIEL BROOKS (SOLE MEMBER)
(509) 586-4350
Entity
Organization
Contact information
Practice address
7233 W DESCHUTES AVE., SUITE E, KENNEWICK, WA 99336
(509) 586-4350
(888) 656-9322
Mailing address
7233 W DESCHUTES AVE., SUITE E, KENNEWICK, WA 99336
(509) 586-4350
(888) 656-9322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
122400000X
Denturist
Primary
DN00000391
WA
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047626
—
WA
Enumeration date
08/19/2007
Last updated
08/24/2020
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