Charles Wilson Roe X, D.D.S.

NPI #1871794057 in Pinckneyville, Illinois

Provider Information

NPI Number
1871794057
Entity Type
Individual
Name
Charles Wilson Roe X, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
314 W SOUTH ST
ZIP Code
62274-1336
Phone
(618) 357-2445

Specialties & Taxonomy Codes

Specialty
Dentist

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