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1114935814
CHARLES WENDELL WEATHERS
WACO, TX
NPI
1114935814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 13151)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Dr. CHARLES WENDELL WEATHERS DDS, MSD
5016 LAKELAND CIR STE A
WACO, TX 76710-2984
Phone number: 254-776-0318
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Mailing Address
Dr. CHARLES WENDELL WEATHERS DDS, MSD
5016 LAKELAND CIR STE A
WACO, TX 76710-2984
Phone number: 254-776-0318
Copy
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