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Individual
DR. ANNE MARGARET BREUM
Active
Individual
DR. ANNE MARGARET BREUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1870
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115375
—
MT
01
—
5512611
CHIPS PROVIDER NUMBER
MT
Enumeration date
06/14/2005
Last updated
07/17/2007
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