Individual
DR. BROOKE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.023328
OHIO STATE DENTAL BOARD
OH
05
—
3068522
—
OH
05
—
3810027906
—
WV
05
—
7100308330
—
KY
Enumeration date
09/07/2010
Last updated
01/29/2018
Update your record
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