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Individual
SHEILA M BROWN
Active
Individual
SHEILA M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202152
CO
1223G0001X
General Practice Dentistry
61154
KS
1223G0001X
General Practice Dentistry
7149
OK
1223G0001X
General Practice Dentistry
DD4068
NM
1223G0001X
General Practice Dentistry
DEN.00202152
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201152510B
—
KS
01
—
61154
KANSAS STATE DENTAL LICENSE
KS
05
—
83730257
—
CO
Enumeration date
06/14/2011
Last updated
04/21/2021
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