Individual
DR. DALE EUGENE BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
514 4TH ST SE, STANLEY, ND 58784-0999
(701) 628-2138
(701) 628-2020
Mailing address
BOX 999, 514 4TH ST SE, STANLEY, ND 58784-0999
(701) 628-2138
(701) 628-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1626
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40853
—
ND
01
—
901626
DENTAL SERVICE CORPORATIO
ND
Enumeration date
04/16/2007
Last updated
07/08/2007
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