Charles Arthur Short, DDS

NPI #1992097752 in Groves, Texas

Provider Information

NPI Number: 1992097752
Entity Type: Individual
Name: Charles Arthur Short, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 11, 2011
Last Updated: May 11, 2011

Practice Location

Address: 5406 39TH ST
City: Groves
State: Texas
ZIP Code: 77619-2914
Phone: (409) 962-3733

Specialties & Taxonomy Codes

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

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