Individual
MRS. TATYANA PENN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
18 PINE CHIP CT, NOTTINGHAM, MD 21236-3542
(301) 356-7960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17587
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
09/21/2021
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