Organization
BROWN FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD V BROWN III DDS, MSD (OWNER)
(504) 455-1625
Entity
Organization
Contact information
Practice address
100 S TYLER ST, COVINGTON, LA 70433-3050
(985) 893-1044
(985) 893-1270
Mailing address
100 S TYLER ST, COVINGTON, LA 70433-3050
(985) 893-1044
(985) 893-1270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5091
LA
Other
Enumeration date
04/11/2007
Last updated
10/05/2015
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