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Individual

DR. ALISSA HOKULANI BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2133 KLINKER ST, BLDG 3352, JBSA-LACKLAND, TX 78236
(210) 292-6246
Mailing address
2133 KLINKER ST, BLDG 3352, JBSA-LACKLAND, TX 78236
(210) 292-6246

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10389367-9921
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/14/2017
Last updated
06/05/2024
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