| Drbrooksby.com,inc | |
|
680 W Washington St Ste E102 Sequim WA 98382-3264 | |
| (702) 274-6700 | |
| Not Available |
| Full Name | Drbrooksby.com,inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 680 W Washington St Ste E102, Sequim, Washington |
| Authorized Official Name and Position | Lyle Scott Brooksby (PRESIDENT) |
| Authorized Official Contact | 7022746700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drbrooksby.com,inc 2022 Taylor Cutoff Rd Sequim WA 98382-8294 Ph: (702) 274-6700 | Drbrooksby.com,inc 680 W Washington St Ste E102 Sequim WA 98382-3264 Ph: (702) 274-6700 |
| NPI Number | 1649827932 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649827932 | NPI | - | NPPES |
| 60450842 | Other | WA | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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