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Individual

DR. JASON ALLEN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
11711 W BURLEIGH ST, WAUWATOSA, WI 53222-3108
(414) 771-2345
Mailing address
1607 STARDUST DR, WAUKESHA, WI 53186-2670
(608) 770-7226

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5890
WI

Other

Enumeration date
08/13/2006
Last updated
07/08/2007
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