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Individual

MICHAEL P. BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-8950
(505) 272-3202
Mailing address
1650 UNIVERSITY BLVD NE, SUITE 116, ALBUQUERQUE, NM 87102-1726
(505) 272-8950
(505) 272-3202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD 1578
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027680
AZ
05
51805847
CO
05
88167
NM
Enumeration date
11/03/2006
Last updated
07/08/2007
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