NPI | 1780141309 |
---|---|
Former Legal Business Name | TANISHA BROWN DDS, LLC |
Entity Type | Organization |
Authorized Contact | TANISHA LANISE BROWN Dentist 614-296-9171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-01 |
Last Update Date | 2019-03-01 |