Individual
DR. CHARLES IVAN BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
16550 177TH AVENUE SE, TWIN RIVERS UNIT, MONROE, WA 98272
(360) 794-2451
Mailing address
5921 NE 199TH ST, KENMORE, WA 98028-3107
(843) 224-2714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4215
SC
Other
Enumeration date
07/24/2006
Last updated
07/18/2013
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