Provider Demographics
NPI:1609015239
Name:BROWN, JUDY ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:ELIZABETH
Other - Last Name:ASPINALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:11316 VISTA SORRENTO PKWY
Mailing Address - Street 2:U201
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-7642
Mailing Address - Country:US
Mailing Address - Phone:646-436-2640
Mailing Address - Fax:
Practice Address - Street 1:11316 VISTA SORRENTO PKWY
Practice Address - Street 2:U201
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-7642
Practice Address - Country:US
Practice Address - Phone:646-436-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA570981223P0221X
NY0531121223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry