Individual
DR. WALTER C. BROWN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2714 ROCKFORD LN, KOKOMO, IN 46902-3204
(765) 453-9040
(765) 453-4613
Mailing address
2714 ROCKFORD LN, KOKOMO, IN 46902-3204
(765) 453-9040
(765) 453-4613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007292
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136180 A
—
IN
Enumeration date
01/09/2008
Last updated
11/17/2015
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