Individual
DR. JACQUELINE ALEXANDRIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
135 CONSTON AVE, CHRISTIANSBURG, VA 24073-1151
(540) 251-0707
Mailing address
2444 COACHMAN DR, ROANOKE, VA 24012-6807
(423) 991-7604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415679
VA
1223G0001X
General Practice Dentistry
Primary
0401415679
VA
Other
Enumeration date
06/08/2017
Last updated
06/12/2017
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