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1811919087
CHARLES L. SOURS
WOODBRIDGE, VA
NPI
1811919087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 4304)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. CHARLES L. SOURS D.D.S.
12606 LAKE RIDGE DR # A
WOODBRIDGE, VA 22192-2335
Phone number: 703-491-2131
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Mailing Address
Dr. CHARLES L. SOURS D.D.S.
12606 A. LAKE RIDGE DRIVE
WOODBRIDGE, VA 22192
Phone number: 703-491-2131
Copy
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