DR. Charle A Warren, D.D.S.

NPI #1477582948 in Rupert, Idaho

Provider Information

NPI Number
1477582948
Entity Type
Individual
Name
DR. Charle A Warren, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
301 SCOTT AVE
City
Rupert
State
Idaho
ZIP Code
83350-1800
Phone
(208) 436-6406

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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