Organization
DR. VICTOR D. BROWN, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR D BROWN DMD (OWNER)
(814) 274-1111
Entity
Organization
Contact information
Practice address
6 NILES HILL RD, COUDERSPORT, PA 16915-1211
(814) 274-1111
(814) 274-7786
Mailing address
6 NILES HILL RD, COUDERSPORT, PA 16915-1211
(814) 274-1111
(814) 274-7786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007970800003
—
PA
Enumeration date
10/29/2012
Last updated
10/29/2012
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