CHARLES WESLEY MAGNUSON

SOUTH BEND, IN
NPI1578695086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  IN8114)
Enumeration Date2007-03-10
Last Update Date2007-07-08
Business Address
DR. CHARLES WESLEY MAGNUSON D.D.S.
1331 CHIMES BLVD
SOUTH BEND, IN 46615-3549
Phone number: 574-232-2047
Mailing Address
DR. CHARLES WESLEY MAGNUSON D.D.S.
1331 CHIMES BLVD
SOUTH BEND, IN 46615-3549
Phone number: 574-232-2047
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