Individual
DR. BRUCE R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 476-4364
(631) 474-0998
Mailing address
14 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776-3337
(631) 476-4364
(631) 474-0998
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
031788
NY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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