Individual
DR. BOONE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2129 W ELIZABETH ST, FORT COLLINS, CO 80521-4236
(970) 493-9116
Mailing address
1302 BELMONT RD, GRAND FORKS, ND 58201-5626
(763) 258-6883
(701) 352-2424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9415
CO
Other
Enumeration date
06/25/2007
Last updated
10/11/2012
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