Individual
DR. K. GLENN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2985 LANGLEY AVE, PENSACOLA, FL 32504-7335
(850) 484-8090
(850) 484-8074
Mailing address
2985 LANGLEY AVE, PENSACOLA, FL 32504-7335
(850) 484-8090
(850) 484-8074
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN13547
FL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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