Individual
BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 14TH ST, ELKO, NV 89801-3413
(775) 738-5850
(775) 738-5934
Mailing address
3325 RESEARCH WAY, CARSON CITY, NV 89706-7913
(775) 888-6610
(775) 888-4904
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
101990
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101990
DENTAL HYGIENIST LICENSE
NV
Enumeration date
07/14/2014
Last updated
07/14/2014
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