Mark L Brooks, DDS Valid NPI
Individual provider · General Practice Dentistry · Ferndale, WA
- NPI
- 1831275551
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DE00007647 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-27
- Last updated
- 2020-05-21
Practice location
6060 Portal Way
Ferndale, WA 98248-7833
(360) 676-6177