Charles Dental Group

NPI #1245634682 in Fair Oaks, California

Provider Information

NPI Number: 1245634682
Entity Type: Organization
Organization Name: Charles Dental Group
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 12344 FAIR OAKS BLVD STE A
City: Fair Oaks
State: California
ZIP Code: 95628-2546
Phone: (916) 721-3367

Authorized Official

Name: DR. BLAIR VERNAL MOSER II, DDS
Title: OWNER
Phone: (916) 721-3368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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