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Individual

DR. CHAD KYLE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6616 MISSION GORGE RD, SAN DIEGO, CA 92120-2309
(619) 280-7866
Mailing address
16334 CALLOWAY DR, SAN DIEGO, CA 92127-3498
(858) 312-5009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54623
CA

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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