DR. Charles Douglas Vandyck III, DDS, MSD
NPI #1508915588 in Great Falls, Montana
Provider Information
- NPI Number
- 1508915588
- Entity Type
- Individual
- Name
- DR. Charles Douglas Vandyck III, DDS, MSD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- DDS, MSD
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2601 16TH AVE S
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59405-5202
- Phone
- (406) 727-6232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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