Individual
JORDAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37944 CHURCH AVE, DADE CITY, FL 33525-4207
(352) 518-2000
Mailing address
37944 CHURCH AVE, DADE CITY, FL 33525-4207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2161
FL
Other
Enumeration date
07/01/2020
Last updated
08/29/2022
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