Organization
BROOKS DENTAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. PASCHAL BROOKS SR. DDS (PRESIDENT)
(229) 723-4111
Entity
Organization
Contact information
Practice address
13762 MAGNOLIA ST, BLAKELY, GA 39823-1875
(229) 723-4111
(229) 723-6083
Mailing address
PO BOX 707, BLAKELY, GA 39823-0707
(229) 723-6083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN007286
GA
1223G0001X
General Practice Dentistry
DN014123
GA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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