Keith Brown Dmd, Inc.

NPI #1245753300 in Lucedale, Mississippi

Provider Information

NPI Number: 1245753300
Entity Type: Organization
Organization Name: Keith Brown Dmd, Inc.
Primary Specialty: Dentist
Enumeration Date: Jul 20, 2017
Last Updated: Jul 20, 2017

Practice Location

Address: 16 PLAZA DR
City: Lucedale
State: Mississippi
ZIP Code: 39452-6180
Phone: (601) 947-1219

Authorized Official

Name: DR. KEITH ABRAM BROWN, DMD
Title: OWNER /DENTIST
Phone: (601) 947-1219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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