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1083054274
CHARLES LEE ANDERSON
FORT HUACHUCA, AZ
NPI
1083054274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12011960A)
Enumeration Date
2013-07-02
Last Update Date
2019-05-14
Business Address
Dr. CHARLES LEE ANDERSON DDS
2240 E WINDROW AVE
FORT HUACHUCA, AZ 85613-7040
Phone number: 719-355-6674
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Mailing Address
Dr. CHARLES LEE ANDERSON DDS
2240 E WINDROW AVE
FORT HUACHUCA, AZ 85613-7040
Phone number:
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