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Organization

GARNETT C. BROWN III D.M.D. PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARNETT C. BROWN III DMD (DR.)
(859) 685-3110
Entity
Organization

Contact information

Practice address
1001 MONARCH ST, SUITE 200, LEXINGTON, KY 40513-1495
(859) 685-3110
(859) 296-5970
Mailing address
1001 MONARCH ST, SUITE 200, LEXINGTON, KY 40513-1495
(859) 685-3110
(859) 296-5970

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6345
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6345
LICENSE
KY
Enumeration date
01/18/2016
Last updated
01/18/2016
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