Individual
DR. CARRICK COLEMAN BREWSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7337 NORTHVIEW ST, BOISE, ID 83704-7362
(208) 376-7447
(208) 375-2907
Mailing address
7337 NORTHVIEW ST, BOISE, ID 83704-7362
(208) 376-7447
(208) 375-2907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3615
ID
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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