Provider Demographics
NPI:1235565482
Name:BROWN, DEVANI MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEVANI
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 CARLTON HILLS BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2980
Mailing Address - Country:US
Mailing Address - Phone:619-448-6396
Mailing Address - Fax:619-448-6397
Practice Address - Street 1:9225 CARLTON HILLS BLVD STE 9
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2980
Practice Address - Country:US
Practice Address - Phone:619-448-6396
Practice Address - Fax:619-448-6397
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61664122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist