Individual
DR. ROBERT LESLIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1504 WILSON RD, NEWBERRY, SC 29108-3052
(803) 276-9343
Mailing address
1504 WILSON RD, NEWBERRY, SC 29108-3052
(803) 276-9343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2158
SC
122300000X
Dentist
304DT
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21584
—
SC
Enumeration date
08/17/2006
Last updated
07/08/2007
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