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NPI Code Detail

MEDICARE: DR. DWYTE E BROOKS II D.M.D.

MEDICARE:  DR. DWYTE E BROOKS II D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist839NV

General Provider Information

NPI Number : 1790808178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DWYTE E BROOKS II D.M.D.
Provider Business Mailing Address
First Line : 7180 CASCADE VALLEY COURT
Second Line : SUITE 240
City : LAS VEGAS
State : NV
Zip : 89128
Country : US
Telephone Number : 702-735-0833
Fax Number : 702-735-5244
Provider Business Practice Location Address
First Line : 7180 CASCADE VALLEY CT
Second Line : SUITE 240
City : LAS VEGAS
State : NV
Zip : 89128-0481
Country : US
Telephone Number : 702-735-0833
Fax Number : 702-735-5244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ DR. DWYTE E BROOKS II D.M.D.” Practice Location

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