Individual
CLEVE T BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
615 WILLIAMS ST, DENHAM SPRINGS, LA 70726-3630
(225) 665-2382
Mailing address
615 WILLIAMS ST, DENHAM SPRINGS, LA 70726-3630
(225) 665-2382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4342
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843423
—
LA
Enumeration date
08/10/2006
Last updated
07/09/2007
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