Individual
TODD BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 2ND STREET, DASSEL, MN 55325
(320) 275-2954
Mailing address
PO BOX 128, DASSEL, MN 55325-0128
(320) 275-2954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13456
MN
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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