Individual
DR. JOHN KEVIN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
216 S MAIN ST, MOUNT AIRY, MD 21771-5317
(301) 829-1188
Mailing address
216 S MAIN ST, MOUNT AIRY, MD 21771-5317
(301) 829-1188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6939
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01585
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/30/2008
Last updated
04/30/2008
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