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Organization

MICHAEL W. BROWN, DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W BROWN D.D.S (OWNER)
(870) 523-6574
Entity
Organization

Contact information

Practice address
2308 HIGHWAY 367 N STE 300, NEWPORT, AR 72112-2499
(870) 523-6574
(870) 523-4672
Mailing address
2308 HIGHWAY 367 N STE 300, NEWPORT, AR 72112-2499
(870) 523-6574
(870) 523-4672

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2148
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102829608
AR
Enumeration date
07/22/2013
Last updated
07/22/2013
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