| Charles E Brown Iii Dds | |
|
2005 Forsythe Avenue Monroe LA 71201 | |
| (318) 322-0432 | |
| (318) 322-4537 |
| Full Name | Charles E Brown Iii Dds |
|---|---|
| Speciality | Dentist |
| Location | 2005 Forsythe Avenue, Monroe, Louisiana |
| Authorized Official Name and Position | Albert F Mcmullen (PRESIDENT) |
| Authorized Official Contact | 3183220432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Brown Iii Dds 2005 Forsythe Avenue Monroe LA 71201 Ph: (318) 322-0432 | Charles E Brown Iii Dds 2005 Forsythe Avenue Monroe LA 71201 Ph: (318) 322-0432 |
| NPI Number | 1285771030 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 02/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4293 (Louisiana) | Primary |
| 122300000X | Dentist | 5171 (Louisiana) | Secondary |
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