Individual
NICHOLAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 SOUTH RIDGE ST., SUITE 2B, BRECKENRIDGE, CO 80424
(414) 301-2057
Mailing address
PO BOX 1817, BRECKENRIDGE, CO 80424-1817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00202446
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2014
Last updated
07/08/2015
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