Individual
DR. RYAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Mailing address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
061311-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2015
Last updated
03/08/2022
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