Individual
DWIGHT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
728 E RIDGE RD, ROCHESTER, NY 14621-1719
(585) 663-1624
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054704
NY
Other
Enumeration date
10/02/2009
Last updated
12/27/2010
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