Individual
DR. MARLON ANTONIO BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 GATEWAY LN STE 300, BETHLEHEM, GA 30620-1852
(775) 527-3067
Mailing address
3400 GREENSIDE CT, DACULA, GA 30019-4645
(775) 527-3067
(775) 334-4361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
011372
GA
1223D0001X
Public Health Dentistry
Primary
DN011372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004716904
—
NV
Enumeration date
02/16/2007
Last updated
06/19/2021
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