Organization
DONALD M. BROWN D.D.S.
Active
Other names
Children's Dental Bldg
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD M BROWN DDS (OWNER)
(562) 924-4401
Entity
Organization
Contact information
Practice address
11635 E SOUTH ST, ARTESIA, CA 90702
(562) 924-4401
(562) 924-1072
Mailing address
PO BOX 307, 11635 E SOUTH ST, ARTESIA, CA 90702
(562) 924-4401
(562) 924-1072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17650
CA
1223P0221X
Pediatric Dentistry
17650
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
31174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235777
—
CA
Enumeration date
04/27/2007
Last updated
05/08/2015
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