Individual
DR. EDWARD DE WITT BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 CLINE ST., MINDEN, LA 71055
(318) 377-0763
(318) 377-0764
Mailing address
PO BOX 1056, MINDEN, LA 71058-1056
(318) 377-0763
(318) 377-0764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1901
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09831
—
LA
Enumeration date
07/27/2006
Last updated
07/08/2007
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