| Gary E Brooks Dmd Inc | |
|
247 Lamson St. Willamina OR 97396-0569 | |
| (503) 876-3911 | |
| (503) 876-8911 |
| Full Name | Gary E Brooks Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 247 Lamson St., Willamina, Oregon |
| Authorized Official Name and Position | Gary E Brooks (PRESIDENT) |
| Authorized Official Contact | 5038763911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary E Brooks Dmd Inc 247 Sw Lamson St. Po Box 569 Willamina OR 97396-0569 Ph: (503) 876-3911 | Gary E Brooks Dmd Inc 247 Lamson St. Willamina OR 97396-0569 Ph: (503) 876-3911 |
| NPI Number | 1700999380 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700999380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4599 (Oregon) | Primary |