Individual
MICHAEL L BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1755 N HIGHWAY 66, SUITE # D, CATOOSA, OK 74015-2409
(918) 266-3866
(918) 266-3880
Mailing address
PO BOX 1227, CATOOSA, OK 74015-1227
(918) 266-3866
(918) 266-3880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5182
OK
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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