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Individual

DR. GARTH I BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
417 W MADISON ST, SUITE 101B, OTTAWA, IL 61350-2836
(815) 433-1258
(815) 433-9025
Mailing address
417 W MADISON ST, SUITE 101B, OTTAWA, IL 61350-2836
(815) 433-1258
(815) 433-9025

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019890
IL

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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