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Individual

DR. CHARLES LEE BROWN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D009373
AZ
1223P0221X
Pediatric Dentistry
Primary
D009373
AZ

Other

Enumeration date
01/01/2016
Last updated
06/08/2017
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