Organization
DR. RICHARD DYCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON BROOKSBANK DDS, MS (DENTIST)
(931) 260-1528
Entity
Organization
Contact information
Practice address
390 S LOWE AVE STE G, COOKEVILLE, TN 38501-4703
(931) 528-7977
Mailing address
390 S LOWE AVE STE G, COOKEVILLE, TN 38501-4703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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