Individual
TANISHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3646 E MAIN ST, WHITEHALL, OH 43213-2913
(614) 231-8102
(614) 231-4801
Mailing address
3646 E MAIN ST, WHITEHALL, OH 43213-2913
(614) 231-8102
(614) 231-4801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-024362
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2014
Last updated
05/08/2015
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