Individual
MRS. MARY MARGARET BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
110 E ARAPAHOE, THERMOPOLIS, WY 82443
(307) 864-9411
Mailing address
PO BOX 751, 110 E ARAPAHOE ST., THERMOPOLIS, WY 82443
(307) 864-9411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1370
WY
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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