Garth I Brewer DDS

NPI 1003843798 - Dentist - 1223G0001X

NPI Details
NPI 1003843798
Gender Male
Enumeration Date 06/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
417 W MADISON ST
SUITE 101B
OTTAWA IL, 61350-2836, US
Phone (815) 433-1258
Fax (815) 433-9025
Business Location
417 W MADISON ST
SUITE 101B
OTTAWA IL, 61350-2836, US
Phone (815) 433-1258
Fax (815) 433-9025
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019890
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According to our database, Dr. Garth I Brewer DDS NPI is 1003843798, taxonomy code is 1223G0001X and license number is 019890, license state is located at Illinois. Garth I Brewer DDS physically located at 417 W Madison St, Ottawa IL, 61350-2836. NPI Number Garth I Brewer DDS has the Individual type.

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1003843798 NPI number is provided on an as is basis without warranty of any kind. 1003843798 is maintained by the National Plan & Provider Enumeration System. The contents of Garth I Brewer DDS are for informational purposes only.