Individual
STEPHANIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 WOODSIDE AVE, WINTHROP, MA 02152
(617) 846-1811
(617) 846-6087
Mailing address
529 BEACON ST APT 9, BOSTON, MA 02215-2331
(781) 710-0309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857955
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
07/14/2018
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