Individual
DR. SHANNON RENEE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
525 W WASHINGTON ST, CARSON CITY, NV 89703-3804
(775) 883-4247
Mailing address
525 W WASHINGTON ST, CARSON CITY, NV 89703-3804
(775) 883-4247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5640
OK
1223G0001X
General Practice Dentistry
Primary
6565
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012920A
—
OK
Enumeration date
12/26/2006
Last updated
10/06/2015
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