DR. Charles J. Harrell JR., D.M.D.
NPI #1093803231 in Petal, Mississippi
Provider Information
- NPI Number
- 1093803231
- Entity Type
- Individual
- Name
- DR. Charles J. Harrell JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 139 S MAIN ST
- City
- Petal
- State
- Mississippi
- ZIP Code
- 39465-2331
- Phone
- (601) 584-9481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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