Charles H Middleton DDS PC
NPI #1215024989 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1215024989
- Entity Type
- Organization
- Organization Name
- Charles H Middleton DDS PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Apr 30, 2013
Practice Location
- Address
- 4302 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815
- Phone
- (260) 484-3136
Authorized Official
- Name
- CHARLES H MIDDLETON, DDS PC
- Title
- OWNER
- Phone
- (260) 484-3136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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