Organization
TANNER BROWN DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER MICHAEL BROWN DMD (DENTIST)
(618) 791-7666
Entity
Organization
Contact information
Practice address
6065 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1108
(636) 928-4090
Mailing address
6065 MID RIVERS MALL DR, SAINT PETERS, MO 63304-1108
(618) 791-7666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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