Individual
WAYNE D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2332 W 12600 S, STE A, RIVERTON, UT 84065-7161
(801) 253-4547
(801) 302-0814
Mailing address
2332 W 12600 S, STE A, RIVERTON, UT 84065-7161
(801) 253-4547
(801) 302-0814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6219278-9922
UT
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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