DR. Charles Wesley Magnuson, D.D.S.

NPI #1578695086 in South Bend, Indiana

Provider Information

NPI Number: 1578695086
Entity Type: Individual
Name: DR. Charles Wesley Magnuson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1331 CHIMES BLVD
City: South Bend
State: Indiana
ZIP Code: 46615-3549
Phone: (574) 232-2047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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