| Carolyn Lissau Brown Dds Dental Corporation | |
|
351 Paseo Nuevo Fl 2 Santa Barbara CA 93101-3382 | |
| (877) 712-7875 | |
| Not Available |
| Full Name | Carolyn Lissau Brown Dds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 351 Paseo Nuevo Fl 2, Santa Barbara, California |
| Authorized Official Name and Position | Brant Herman (CEO) |
| Authorized Official Contact | 8777127875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Lissau Brown Dds Dental Corporation 460 Main St Ste B Metuchen NJ 08840-1834 Ph: (877) 712-7875 | Carolyn Lissau Brown Dds Dental Corporation 351 Paseo Nuevo Fl 2 Santa Barbara CA 93101-3382 Ph: (877) 712-7875 |
| NPI Number | 1215713755 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215713755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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