Individual
DR. JEREMY D BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2369 AIRLINE DR STE 330, BOSSIER CITY, LA 71111-5867
(318) 658-9622
(318) 658-9628
Mailing address
105 BUTTON WILLOW DR, BOSSIER CITY, LA 71111-5183
(318) 658-9622
(318) 658-9628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6266
LA
Other
Enumeration date
07/12/2012
Last updated
01/16/2013
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