| Dr. Jack I. Brown, Dds, Inc | |
|
416 N Bedford Dr Suite 103 Beverly Hills CA 90210-4322 | |
| (310) 278-9624 | |
| (310) 278-0695 |
| Full Name | Dr. Jack I. Brown, Dds, Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 416 N Bedford Dr, Beverly Hills, California |
| Authorized Official Name and Position | Tammy R. Alsobrook (OFFICE MANAGER) |
| Authorized Official Contact | 3102789624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jack I. Brown, Dds, Inc 416 N Bedford Dr Suite 103 Beverly Hills CA 90210-4322 Ph: (310) 278-9624 | Dr. Jack I. Brown, Dds, Inc 416 N Bedford Dr Suite 103 Beverly Hills CA 90210-4322 Ph: (310) 278-9624 |
| NPI Number | 1033121405 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033121405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 18295 (California) | Primary |
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