Individual
SARA ELIZABETH BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
9126 IDELL CREEK LN, HANNIBAL, MO 63401-6458
(217) 231-1179
Mailing address
9126 IDELL CREEK LN, HANNIBAL, MO 63401-6458
(217) 231-1179
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2013031274
MO
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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