DR. Brian William Charles, D.M.D.

NPI #1922189109 in Mccall, Idaho

Provider Information

NPI Number: 1922189109
Entity Type: Individual
Name: DR. Brian William Charles, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1003 N 3RD ST
City: Mccall
State: Idaho
ZIP Code: 83638-3822
Phone: (208) 634-7653

Specialties & Taxonomy Codes

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

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Organizations

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