Individual
DR. TIM JACK BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12448 SAINT ANDREWS DR, OKLAHOMA CITY, OK 73120-8601
(405) 752-0600
(405) 751-6362
Mailing address
4401 W MEMORIAL RD, STE 134, OKLAHOMA CITY, OK 73134-1787
(405) 752-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5217
OK
Other
Enumeration date
04/04/2007
Last updated
02/02/2016
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