| NPI | 1558379347 |
|---|---|
| Other Name | CHARLES T ANONUEVO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 8858) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027110) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-07-21 |