Individual
JUSTIN TYLER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
670 SHEPARD LN STE 105, FARMINGTON, UT 84025-3936
(801) 447-2001
(801) 447-2003
Mailing address
670 SHEPARD LN STE 105, FARMINGTON, UT 84025-3936
(801) 447-2001
(801) 447-2003
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
359814-9922
UT
Other
Enumeration date
05/18/2007
Last updated
07/07/2023
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