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Individual
DR. RONNIE L BROWN
Active
Individual
DR. RONNIE L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401003814
VA
1223G0001X
General Practice Dentistry
0401003814
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0401003814
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088818
ANTHEM
VA
01
—
1375044
UNITED CONCORDIA
—
05
—
9181262
—
VA
Enumeration date
01/09/2007
Last updated
07/08/2019
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