CHARLES WESLEY KETCHAM

THOUSAND OAKS, CA
NPI1174667216
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  23839)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Dr. CHARLES WESLEY KETCHAM D.D.S.
228 LOMBARD ST STE C
THOUSAND OAKS, CA 91360-8202
Phone number: 805-496-3209
Mailing Address
Dr. CHARLES WESLEY KETCHAM D.D.S.
228 LOMBARD ST STE C
THOUSAND OAKS, CA 91360-8202
Phone number: 805-496-3209
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