Individual
DR. JOHN W BROOKS JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
224 S GEDDES ST, SYRACUSE, NY 13204-2809
(315) 471-0550
(315) 471-0770
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4394
DC
1223G0001X
General Practice Dentistry
Primary
042029
NY
Other
Enumeration date
10/04/2005
Last updated
11/22/2010
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