JACK L BRAUER

MIDWAY, UT
NPI1407187362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  47988549921)
Enumeration Date2010-01-15
Last Update Date2022-05-20
Business Address
Dr. JACK L BRAUER DDS
450 BERN WAY
MIDWAY, UT 84049
Phone number: 619-840-7080
Mailing Address
Dr. JACK L BRAUER DDS
450 BERN WAY
MIDWAY, UT 84049
Phone number: 619-840-7080
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