Individual
GLENN ARTHUR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6776 MARKET ST, UPPER DARBY, PA 19082
(610) 734-0115
(610) 734-0666
Mailing address
6776 MARKET ST, UPPER DARBY, PA 19082
(610) 734-0115
(610) 734-1419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008895840001
—
PA
Enumeration date
08/15/2006
Last updated
07/08/2007
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