Individual
DR. AUGUSTO BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
761 S FETTERLY AVE, LOS ANGELES, CA 90022-2519
(323) 269-8600
Mailing address
761 S FETTERLY AVE, LOS ANGELES, CA 90022-2519
(323) 269-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B24276-01
MEDI CAL
CA
Enumeration date
09/21/2006
Last updated
07/08/2007
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