Jake Douglas Brush, DDS

NPI #1205572245 in Scott Afb, Illinois

Provider Information

NPI Number
1205572245
Entity Type
Individual
Name
Jake Douglas Brush, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
May 11, 2022
Last Updated
Aug 9, 2023

Practice Location

Address
310 W LOSEY ST
ZIP Code
62225-5250
Phone
(618) 256-2833

Specialties & Taxonomy Codes

Specialty
Dentist

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