Individual
DR. JACK I. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
416 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4322
(310) 278-9624
(310) 278-0695
Mailing address
416 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4322
(310) 278-9624
(310) 278-0695
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18295
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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