Charles Brown

NPI #1245390186 in Port Richey, Florida

Provider Information

NPI Number: 1245390186
Entity Type: Individual
Name: Charles Brown
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9682 US HIGHWAY 19
City: Port Richey
State: Florida
ZIP Code: 34668-4642
Phone: (727) 842-2422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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