CHARLES MARK FORT

OWENSBORO, KY
NPI1144234725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  5602)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
Dr. CHARLES MARK FORT D.M.D.
1208 E BYERS AVE
OWENSBORO, KY 42303-7558
Phone number: 270-926-3838
Mailing Address
Dr. CHARLES MARK FORT D.M.D.
1208 E BYERS AVE
OWENSBORO, KY 42303-7558
Phone number: 270-926-3838