Provider Demographics
NPI:1386745222
Name:BROWN, DEAN L (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:L
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-1148
Mailing Address - Country:US
Mailing Address - Phone:818-706-3113
Mailing Address - Fax:
Practice Address - Street 1:23111 VENTURA BLVD
Practice Address - Street 2:STE 101
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1126
Practice Address - Country:US
Practice Address - Phone:818-225-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0353761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice