Individual
DR. STEVEN CLAY BROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 EDIZ HOOK ROAD, USCG AIRSTA/SFO PORT ANGELES, PORT ANGELES, WA 98362-2201
(360) 417-5880
(360) 417-5899
Mailing address
6618 S CREEKSTONE ST, SPOKANE, WA 99224-8807
(907) 957-1945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34308
CA
Other
Enumeration date
12/30/2005
Last updated
02/09/2015
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