Organization
SOUTHERN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EDWIN BROWN DMD (OWNER)
(302) 999-7600
Entity
Organization
Contact information
Practice address
703 HEALTH SERVICES DR, SEAFORD, DE 19973-5784
(302) 999-7600
(302) 998-6704
Mailing address
703 HEALTH SERVICES DR, SEAFORD, DE 19973-5784
(302) 999-7600
(302) 998-6704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
G1-0001011
DE
1223G0001X
General Practice Dentistry
Primary
G1-0001040
DE
1223G0001X
General Practice Dentistry
G1-0001216
DE
Other
Enumeration date
02/05/2014
Last updated
03/06/2014
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