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Individual

DR. GREGORY BROWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
530 DEMOSS ST, LORDSBURG, NM 88045-2618
(575) 554-2838
(575) 542-8387
Mailing address
530 DEMOSS ST, LORDSBURG, NM 88045-2618
(575) 554-2838
(575) 542-8387

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4210
NM
1223G0001X
General Practice Dentistry
D3418
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08977542
NM
Enumeration date
04/19/2007
Last updated
03/11/2015
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