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NPI Code Detail

MEDICARE: DR. CHAD KYLE BROWN DDS

MEDICARE: DR. CHAD KYLE 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
1122300000XDentist54623CA

General Provider Information

NPI Number : 1508966342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD KYLE BROWN DDS
Provider Business Mailing Address
First Line : 16334 CALLOWAY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-3498
Country : US
Telephone Number : 858-312-5009
Fax Number :
Provider Business Practice Location Address
First Line : 6616 MISSION GORGE RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-2309
Country : US
Telephone Number : 619-280-7866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHAD KYLE BROWN DDS” Practice Location

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