Individual
DR. GARY MICHAEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
660 DRURY RD, CARBONDALE, IL 62902-7463
(618) 549-6268
Mailing address
660 DRURY RD, CARBONDALE, IL 62902-7463
(618) 549-6268
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.013955
IL
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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