Organization
DEMING ORTHODONTICS, LLC
Active
Organization
DEMING ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. BREWKA DDS (OWNER/ORTHODONTIST)
(303) 887-4400
Entity
Organization
Contact information
Practice address
710 S GOLD AVE, DEMING, NM 88030-4161
(303) 887-4400
Mailing address
710 S GOLD AVE, DEMING, NM 88030-4161
(303) 887-4400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD4015
NM
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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