Individual
THOMAS BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 99508-5904
(907) 317-6070
(806) 794-1919
Mailing address
PO BOX 196320, ANCHORAGE, AK 99519
(907) 317-6070
(806) 794-1919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
932
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853991
UNITED CONCORDIA
—
05
—
DD10531
—
AK
Enumeration date
07/10/2006
Last updated
07/08/2007
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