Individual
DR. GARY KENNETH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1471 CHESTER BLVD, SUITE B, RICHMOND, IN 47374-1919
(765) 962-6734
(765) 939-0237
Mailing address
1471 CHESTER BLVD, SUITE B, RICHMOND, IN 47374-1919
(765) 962-6734
(765) 939-0237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007218A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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