Individual
DIANE KATHLEEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
3033 ADAMS AVE, UNIT 6, SAN DIEGO, CA 92116-1504
(619) 823-4616
(619) 584-4257
Mailing address
3033 ADAMS AVE, UNIT #6, SAN DIEGO, CA 92116-1504
(619) 823-4616
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDHAP96
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295765147
—
CA
05
—
H00096-01
—
CA
01
—
H0009601
DENTICAL
CA
Enumeration date
07/04/2006
Last updated
06/08/2022
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