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1093902264
CHARLES H MIDDLETON
FORT WAYNE, IN
NPI
1093902264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008119)
Enumeration Date
2007-10-01
Last Update Date
2016-03-31
Business Address
Dr. CHARLES H MIDDLETON DDS
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number: 260-484-3136
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Mailing Address
Dr. CHARLES H MIDDLETON DDS
4302 E STATE BLVD
FORT WAYNE, IN 46815-6988
Phone number: 260-484-3136
Copy
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