Individual
BRANDON WESLEY ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1015 N 18TH ST, CENTERVILLE, IA 52544-1170
(641) 684-6896
(641) 226-5759
Mailing address
PO BOX 458, OTTUMWA, IA 52501-0458
(641) 684-6896
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09361
IA
122300000X
Dentist
9513
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100320080
—
KY
Enumeration date
05/13/2014
Last updated
12/02/2016
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