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Individual
DR. ROGER C BROWN
Active
Individual
DR. ROGER C BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40917
CA
1223G0001X
General Practice Dentistry
40917
CA
Other
Enumeration date
06/05/2008
Last updated
07/02/2018
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