Individual
DR. JUSTIN DAVID BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5 LOGAN ST, PERU, IN 46970-1642
(765) 473-9336
(765) 473-9346
Mailing address
366 W 12TH ST, PERU, IN 46970-1549
(765) 461-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010988A
IN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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