Randall C Brown Dmd Pa | |
902 W 25th St Sanford FL 32771-4236 | |
(407) 323-5650 | |
Not Available |
Full Name | Randall C Brown Dmd Pa |
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Speciality | Dentist - General Practice |
Location | 902 W 25th St, Sanford, Florida |
Authorized Official Name and Position | Randall Brown (PRESIDENT) |
Authorized Official Contact | 4073235650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randall C Brown Dmd Pa 902 W 25th St Sanford FL 32771-4236 Ph: (407) 323-5650 | Randall C Brown Dmd Pa 902 W 25th St Sanford FL 32771-4236 Ph: (407) 323-5650 |
NPI Number | 1114945060 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114945060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 7210 (Florida) | Primary |
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