Individual
DR. KEISHA R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
6213 ROCK QUARRY RD, 110, RALEIGH, NC 27610-6640
(919) 661-2800
Mailing address
6213 ROCK QUARRY RD, 110, RALEIGH, NC 27610-6640
(919) 661-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7478
STATE LICENSE NUMBER
NC
Enumeration date
11/02/2006
Last updated
09/07/2011
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