Koalby Brown
NPI #1437641735 in Grangeville, Idaho
Provider Information
- NPI Number
- 1437641735
- Entity Type
- Individual
- Name
- Koalby Brown
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Jun 1, 2018
Practice Location
- Address
- 120 N A ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1211
- Phone
- (208) 983-1651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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