DR. Jack L Brauer, DDS

NPI #1407187362 in Midway, Utah

Provider Information

NPI Number: 1407187362
Entity Type: Individual
Name: DR. Jack L Brauer, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 15, 2010
Last Updated: May 20, 2022

Practice Location

Address: 450 BERN WAY
City: Midway
State: Utah
ZIP Code: 84049
Phone: (619) 840-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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