Individual
DR. GERALD BRENT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
1800 W. CAUSEWAY, SUITE 118, MANDEVILLE, LA 70471-3112
(985) 626-8415
(985) 626-1928
Mailing address
1800 W CAUSEWAY, SUITE 118, MANDEVILLE, LA 70471-3112
(985) 626-8415
(685) 626-1928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4470
LA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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