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Individual

BROOKE BRANNON POLYAKOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
140 STONY POINT RD STE A, SANTA ROSA, CA 95401-4121
(707) 408-7838
Mailing address
140 STONY POINT RD STE A, SANTA ROSA, CA 95401-4121
(213) 407-5945

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107997
CA
208600000X
Surgery Physician
19928
CA

Other

Enumeration date
09/09/2022
Last updated
11/24/2025
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