Individual
DR. C. DALE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 E IDAHO AVE STE 23, LAS CRUCES, NM 88005-3242
(505) 524-8556
Mailing address
8030 MURANO CT, LAS CRUCES, NM 88007-8968
(505) 526-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1374
NM
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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