Individual
MR. BRANDON R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
440 W INTERSTATE HWY 635, #445, IRVING, TX 75063-3811
(972) 401-8301
(972) 444-8265
Mailing address
1612 LANCASTER DR, STE 445, GRAPEVINE, TX 76051-3544
(817) 329-4979
(817) 488-4483
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23179
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
52716
CA
Other
Enumeration date
02/13/2007
Last updated
01/17/2017
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