Organization
DOUGLAS R BROWN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RUSSELL BROWN DDS (PRESIDENT)
(770) 482-2964
Entity
Organization
Contact information
Practice address
7660 COVINGTON HWY, LITHONIA, GA 30058-7406
(770) 482-2964
(770) 482-1396
Mailing address
7660 COVINGTON HWY, LITHONIA, GA 30058-7406
(770) 482-2964
(770) 482-1396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7405
GA
Other
Enumeration date
03/26/2007
Last updated
03/21/2012
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