Individual
BROOKE BAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
24760 HOSPITAL RD, RED LAKE, MN 56671
(218) 679-3316
Mailing address
24760 HOSPITAL RD, RED LAKE, MN 56671
(218) 679-3316
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H10146
MN
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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