DR. Charles Ivan Brown JR., D.M.D

NPI #1649292939 in Monroe, Washington

Provider Information

NPI Number
1649292939
Entity Type
Individual
Name
DR. Charles Ivan Brown JR., D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Jul 24, 2006
Last Updated
Jul 18, 2013

Practice Location

Address
16550 177TH AVENUE SE
Address 2
TWIN RIVERS UNIT
City
Monroe
ZIP Code
98272
Phone
(360) 794-2451

Specialties & Taxonomy Codes

Specialty
Dentist

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