Organization
DENNIS R BREWER OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R BREWER O.D. (PRESIDENT)
(209) 634-8591
Entity
Organization
Contact information
Practice address
991 E MONTE VISTA AVE, TURLOCK, CA 95382-0403
(209) 634-8591
(209) 634-8596
Mailing address
991 E MONTE VISTA AVE, TURLOCK, CA 95382-0403
(209) 634-8591
(209) 634-8596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000250
—
CA
Enumeration date
08/15/2007
Last updated
02/13/2008
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