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Organization

DR. BROWN'S CHILDREN'S DENTAL CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A BROWN DMD (OWNER/PRESIDENT)
(570) 288-4591
Entity
Organization

Contact information

Practice address
487 NORTHAMPTON ST, KINGSTON, PA 18704-4509
(570) 288-4591
(570) 714-7793
Mailing address
487 NORTHAMPTON ST, KINGSTON, PA 18704-4509
(570) 288-4591
(570) 714-7793

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS027347L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012859610003
PA MEDICAL ASSISTANCE
PA
Enumeration date
03/13/2013
Last updated
03/13/2013
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