Individual
BROOK MALAN UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13620 LINCOLN WAY, AUBURN, CA 95603-3261
(530) 823-1284
Mailing address
10100 INDIAN HILL RD, NEWCASTLE, CA 95658-9301
(916) 663-1959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43873
CA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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