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Jack L Brauer (DDS)

Dr. Jack L Brauer (DDS) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 450 Bern Way, Midway, UT 84049, US
Practice Location Phone619-840-7080
Practice Location Fax
GenderMale
Specialty InDentist
NPI ?1407187362
Entity TypeIndividual
Enumeration Date ? Jan 15, 2010
Last Update Date ? Nov 25, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jack L Brauer

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 47988549921Utah

legacy-id-icon Legacy Provider IDs of Jack L Brauer

Provider IdIssuer StateIssuer TypeIssuer
1407187362UtahMedicaid