Individual
MARK S. BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1604 RANDOLPH AVE, SAINT PAUL, MN 55105-2148
(651) 699-2113
(651) 699-3007
Mailing address
1604 RANDOLPH AVE, SAINT PAUL, MN 55105-2148
(651) 699-2113
(651) 699-3007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9603
MN
Other
Enumeration date
11/03/2006
Last updated
02/27/2023
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