Individual
DR. MARK L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6060 PORTAL WAY, FERNDALE, WA 98248-7833
(360) 676-6177
(360) 671-3574
Mailing address
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225-4642
(360) 676-6177
(360) 671-3574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00007647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174704
LABOR AND INDUSTRIES
WA
05
—
5024534
—
WA
01
—
5877BR
REGENCE BLUE SHIELD
WA
Enumeration date
10/27/2006
Last updated
05/21/2020
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