Individual
TANYA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
129 HANBURY RD W, CHESAPEAKE, VA 23322-4283
(757) 546-5262
(757) 546-5265
Mailing address
601 CHELSEA LN, CHESAPEAKE, VA 23322-6950
(757) 547-2068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410192
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74557
UCCI PROVIDER NUMBER
VA
Enumeration date
04/12/2007
Last updated
07/08/2007
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