Individual
MS. MIRANDA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21051 WATERTOWN RD, WAUKESHA, WI 53186-1806
(262) 784-5757
Mailing address
21051 WATERTOWN RD, WAUKESHA, WI 53186-1806
(262) 784-5757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002251-15
WI
122300000X
Dentist
319.021485
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
02/10/2026
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