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Individual

DR. DANTE JEROME BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 462-7173
Mailing address
19058 AVERS AVE, FLOSSMOOR, IL 60422-1017

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012548A
IN
126900000X
Dental Laboratory Technician
12012548A
IN

Other

Enumeration date
06/27/2016
Last updated
11/07/2024
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