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Organization
BILLY B BROWN JR DDS PA
Active
Organization
BILLY B BROWN JR DDS PA
Active
Parent organization
BILLY B BROWN JR DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BILLY B BROWN JR DDS PA
Authorized official
DR. BILLY BROWN DDS (DENTIST)
(863) 533-0955
Entity
Organization
Contact information
Practice address
695 S BROADWAY AVE, BARTOW, FL 33830-4615
(863) 533-0955
(863) 533-6468
Mailing address
695 S BROADWAY AVE, BARTOW, FL 33830-4615
(863) 533-0955
(863) 533-6468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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