Brian W Charles Dmd

NPI #1023324621 in Mccall, Idaho

Provider Information

NPI Number
1023324621
Entity Type
Organization
Organization Name
Brian W Charles Dmd
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 20, 2010
Last Updated
Aug 20, 2010

Practice Location

Address
509 PINE ST
City
Mccall
State
Idaho
ZIP Code
83638-5017
Phone
(208) 634-7653

Authorized Official

Name
DR. BRIAN W CHARLES, DMD
Title
OWNER
Phone
(208) 634-7653

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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