Individual
DR. CASEY B BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650
(801) 614-0099
Mailing address
1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650
(801) 614-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901600877
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13408631-9921
UT
Other
Enumeration date
04/09/2021
Last updated
11/16/2023
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