Individual
MICHAEL WAYNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1395 N MAIN ST, RANDOLPH, MA 02368-1768
(781) 963-6077
Mailing address
1395 N MAIN ST, RANDOLPH, MA 02368-1768
(781) 963-6077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857254
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2016
Last updated
03/29/2017
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