Individual
DR. ILA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
899 FM 632, KENEDY, TX 78119-4516
(830) 583-4003
Mailing address
899 FM 632, KENEDY, TX 78119-4516
(830) 583-4003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15566
TX
1223G0001X
General Practice Dentistry
15566
TX
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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