Organization
STANLEY E BROWN DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY E BROWN DDS (OWNER PRESIDENT)
(715) 623-5331
Entity
Organization
Contact information
Practice address
705 FIFTH AVE, ANTIGO, WI 54409
(715) 623-5331
(715) 627-1852
Mailing address
705 FIFTH AVE, ANTIGO, WI 54409
(715) 623-5331
(715) 627-1852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5020015
WI
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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