Individual
EDWARD VICTOR BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15465 OAK LANE, GULFPORT, MS 39564
(228) 832-4450
Mailing address
57 OAKLAWN DR, COVINGTON, LA 70433
(985) 893-2740
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2269
LA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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