DR. Charles Wayne Anderson

NPI #1578697694 in Spicewood, Texas

Provider Information

NPI Number
1578697694
Entity Type
Individual
Name
DR. Charles Wayne Anderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
22106 STATE HIGHWAY 71 W
State
Texas
ZIP Code
78669-6115
Phone
(512) 264-9977

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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