Charles Frederick Ezelle, D.M.D.
NPI #1669488763 in Flowood, Mississippi
Provider Information
- NPI Number
- 1669488763
- Entity Type
- Individual
- Name
- Charles Frederick Ezelle, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2655 LAKELAND DR
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9516
- Phone
- (601) 932-8212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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