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NPI Code Detail

MEDICARE: BRITTANY RIQUEL BROWN RDH

MEDICARE: BRITTANY RIQUEL BROWN RDH
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
1124Q00000XDental Hygienist32022CA

General Provider Information

NPI Number : 1588415137
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY RIQUEL BROWN RDH
Provider Business Mailing Address
First Line : 6243 AMBERWOOD DR
Second Line :
City : ALTA LOMA
State : CA
Zip : 91701-3202
Country : US
Telephone Number : 909-997-1180
Fax Number :
Provider Business Practice Location Address
First Line : 9560 BASE LINE RD STE B
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91701-6435
Country : US
Telephone Number : 909-987-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 04/01/2024

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Directions to “ BRITTANY RIQUEL BROWN RDH” Practice Location

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