Charles Eugene Fankhauser, D.D.S.

NPI #1346310919 in Olympia, Washington

Provider Information

NPI Number
1346310919
Entity Type
Individual
Name
Charles Eugene Fankhauser, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 9, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
108 22ND AVE SW
Address 2
SUITE 12
ZIP Code
98501-2871
Phone
(360) 943-5639

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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