DR. Blase P Brown, DDS

NPI #1386715563 in Lyons, Illinois

Provider Information

NPI Number: 1386715563
Entity Type: Individual
Name: DR. Blase P Brown, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4212 JOLIET AVE
City: Lyons
State: Illinois
ZIP Code: 60534-1192
Phone: (708) 447-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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