MEDICARE: DR. DEAN L. BROWN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	035376	CA

General Provider Information

NPI Number	:	1386745222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN L. BROWN DDS

Provider Business Mailing Address
First Line	:	197 PARKVIEW DR
Second Line	:
City	:	OAK PARK
State	:	CA
Zip	:	91377-1148
Country	:	US
Telephone Number	:	818-706-3113
Fax Number	:

Provider Business Practice Location Address
First Line	:	23111 VENTURA BLVD
Second Line	:	STE 101
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-1126
Country	:	US
Telephone Number	:	818-225-7270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/22/2008

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