Individual
DR. DEAN JUSTIN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1213 COFFEE RD, SUITE H, MODESTO, CA 95355-4229
(209) 578-0707
(209) 578-1016
Mailing address
1213 COFFEE RD, SUITE H, MODESTO, CA 95355-4229
(209) 578-0707
(209) 578-1016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52715
CA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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