Organization
GARY T. BREWER
Active
Other names
Advanced Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY THOMAS BREWER DDS (OWNER)
(580) 229-0407
Entity
Organization
Contact information
Practice address
504 E MAIN ST, HEALDTON, OK 73438-1801
(580) 229-0407
(580) 229-0418
Mailing address
504 E MAIN ST, HEALDTON, OK 73438-1801
(580) 229-0407
(580) 229-0418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
06/25/2008
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