Individual
DR. JOHN MARSHALL BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 S CHESTNUT ST, RAVENNA, OH 44266-3031
(330) 297-7009
Mailing address
250 S CHESTNUT ST, RAVENNA, OH 44266-3031
(330) 297-7009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OH15402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468597
—
OH
Enumeration date
12/05/2006
Last updated
07/29/2010
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