Individual
MR. HAMILTON CLARK BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
212 EAST WINSLOW ROAD, BLOOMINGTON, IN 47401
(812) 337-8888
(812) 337-1931
Mailing address
212 EAST WINSLOW ROAD, BLOOMINGTON, IN 47401
(812) 337-8888
(812) 337-1931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009110
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185060A
—
IN
Enumeration date
07/28/2006
Last updated
06/19/2015
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