Individual
DAVID L BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 PINE BLUFF ST, MALVERN, AR 72104
(501) 337-4908
(501) 337-9929
Mailing address
230 PINE BLUFF ST, MALVERN, AR 72104
(501) 337-4908
(501) 337-9929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2227
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58886
ARKANSAS BCBS
AR
01
—
72005
UNITED CONCORDIA
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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