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Individual

DR. GARY EARL BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
247 SW LAMSON ST, WILLAMINA, OR 97396
(503) 876-3911
Mailing address
247 SW LAMSON ST, WILLAMINA, OR 97396
(503) 876-3911

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4599
OR

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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