Individual
BRECK BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1291 BLACKWOOD AVE, OCOEE, FL 34761
(407) 656-0001
Mailing address
1291 BLACKWOOD AVE, OCOEE, FL 34761-4521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8161
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23270
FL
Other
Enumeration date
09/12/2006
Last updated
01/03/2019
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