Organization
GARY E BROOKS DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E BROOKS DMD (PRESIDENT)
(503) 876-3911
Entity
Organization
Contact information
Practice address
247 LAMSON ST., WILLAMINA, OR 97396-0569
(503) 876-3911
(503) 876-8911
Mailing address
247 SW LAMSON ST., PO BOX 569, WILLAMINA, OR 97396-0569
(503) 876-3911
(503) 876-8911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4599
OR
Other
Enumeration date
08/16/2006
Last updated
12/19/2011
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