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Organization

BROOKS DENTAL LLC

Active
Other names
Randall S Cislo DMD LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM T. BROOKS III DMD (OWNER)
(480) 560-6960
Entity
Organization

Contact information

Practice address
65-1279 KAWAIHAE RD STE 101, KAMUELA, HI 96743-8444
(808) 885-8617
Mailing address
68-1874 LINA POEPOE ST, WAIKOLOA, HI 96738-5421
(480) 560-6960

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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