# DONALD M. BROWN D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Dental Bldg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659591931
- **Authorized official:** DONALD M BROWN DDS (OWNER)
- **Authorized official phone:** (562) 924-4401

## Contact information

- **Practice address:** 11635 E SOUTH ST, ARTESIA, CA 90702
- **Practice address phone:** (562) 924-4401
- **Practice address fax:** (562) 924-1072
- **Mailing address:** PO BOX 307, 11635 E SOUTH ST, ARTESIA, CA 90702
- **Mailing address phone:** (562) 924-4401
- **Mailing address fax:** (562) 924-1072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 17650 | CA | Yes |
| 1223P0221X | Pediatric Dentistry | 17650 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 31174 | CA | — |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 05/08/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 235777 | — | CA |