Individual
BROOKE MCKENNA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
107 W BROADWAY ST, EL DORADO SPRINGS, MO 64744-1133
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8183
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2017026671
MO
Other
Enumeration date
07/28/2017
Last updated
03/06/2020
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