Individual
MR. ROBERT J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3434 E. WASHINGTON AVE., MADISON, WI 53704-4155
(068) 443-5550
(608) 443-5554
Mailing address
2901 WEST BELTLINE HWY., STE 120, MADISON, WI 53713-4226
(608) 443-5500
(608) 441-1981
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000266-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33650600
—
WI
Enumeration date
11/27/2007
Last updated
11/23/2011
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