Individual
ALICIA M. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12137 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-9852
(410) 651-1279
Mailing address
PO BOX 191, PRINCESS ANNE, MD 21853-0191
(410) 651-9852
(410) 651-1279
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5251
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288504201
—
MD
Enumeration date
10/19/2006
Last updated
06/27/2008
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