MR. Charles Kenneth Dematte JR., DDS

NPI #1578601498 in Bridgeport, Ohio

Provider Information

NPI Number
1578601498
Entity Type
Individual
Name
MR. Charles Kenneth Dematte JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
334 MAIN STREET
State
Ohio
ZIP Code
43912
Phone
(740) 635-2567

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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