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Individual

DR. RICHARD LEE BROWN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7115 S YALE AVE, TULSA, OK 74136-6308
(918) 492-1991
(918) 492-8690
Mailing address
7115 S YALE AVE, TULSA, OK 74136-6308
(918) 492-1991
(918) 492-8690

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4914
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731521735
TAX ID #
OK
Enumeration date
03/16/2007
Last updated
11/18/2020
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