Carson V Brown Ii Dds Llc | |
550 Mcelhattan Dr Mcelhattan PA 17748-0450 | |
(570) 769-9130 | |
(570) 769-9133 |
Full Name | Carson V Brown Ii Dds Llc |
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Speciality | Dentist |
Location | 550 Mcelhattan Dr, Mcelhattan, Pennsylvania |
Authorized Official Name and Position | Carson Victor Brown (OWNER) |
Authorized Official Contact | 5707699130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carson V Brown Ii Dds Llc Po Box 450 Mc Elhattan PA 17748-0450 Ph: (570) 769-9130 | Carson V Brown Ii Dds Llc 550 Mcelhattan Dr Mcelhattan PA 17748-0450 Ph: (570) 769-9130 |
NPI Number | 1972018174 |
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Provider Enumeration Date | 12/11/2017 |
Last Update Date | 12/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972018174 | NPI | - | NPPES |
18-54448914 | Other | PA | NPI ENTITY 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS-026291-L (Pennsylvania) | Primary |