Individual
DR. EVAN WILLIAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 GARVEY PKWY STE 200, SAINT CHARLES, MO 63303
(636) 441-2777
Mailing address
1 GARVEY PKWY STE 200, SAINT CHARLES, MO 63303-5615
(248) 840-5619
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41367
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
63401
CA
Other
Enumeration date
05/30/2012
Last updated
08/19/2019
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