MR. Charles Wales Moulthrop, DMD

NPI #1922189984 in Dothan, Alabama

Provider Information

NPI Number: 1922189984
Entity Type: Individual
Name: MR. Charles Wales Moulthrop, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2431 W MAIN ST
Address 2: SUITE 601
City: Dothan
State: Alabama
ZIP Code: 36301
Phone: (334) 793-3651

Specialties & Taxonomy Codes

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

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