BRIAN W CHARLES DMD

MCCALL, ID
NPI1023324621
Entity TypeOrganization
Authorized ContactBRIAN W CHARLES
Owner
208-634-7653
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: ID  N-08582)
Enumeration Date2010-08-20
Last Update Date2010-08-20
Business Address
BRIAN W CHARLES DMD
509 PINE ST
MCCALL, ID 83638-5017
Phone number: 208-634-7653
Mailing Address
BRIAN W CHARLES DMD
509 PINE ST
MCCALL, ID 83638-5017
Phone number: 208-634-7653