Individual
CHARLES BERNARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
58 8TH AVE, CARBONDALE, PA 18407-2297
(570) 282-4262
Mailing address
58 8TH AVE, CARBONDALE, PA 18407-2297
(570) 282-4262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS020132L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000508964
—
PA
Enumeration date
06/30/2006
Last updated
06/02/2009
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