Charles R Hammond, D.D.S.,M.A.G.D.

NPI #1114050986 in Tyler, Texas

Provider Information

NPI Number: 1114050986
Entity Type: Individual
Name: Charles R Hammond, D.D.S.,M.A.G.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.,M.A.G.D.
Enumeration Date: Mar 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 120 E HERITAGE DR
City: Tyler
State: Texas
ZIP Code: 75703-5120
Phone: (903) 561-5610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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