Organization
CARSON V BROWN II DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON VICTOR BROWN II DDS (OWNER)
(570) 769-9130
Entity
Organization
Contact information
Practice address
550 MCELHATTAN DR, MCELHATTAN, PA 17748-0450
(570) 769-9130
(570) 769-9133
Mailing address
PO BOX 450, MC ELHATTAN, PA 17748-0450
(570) 769-9130
(570) 769-9133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-026291-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-54448914
NPI ENTITY 1
PA
Enumeration date
12/11/2017
Last updated
12/11/2017
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