NPI | 1952617664 |
---|---|
Doing Business As | CHARLES H MIDDLETON DDS |
Entity Type | Organization |
Authorized Contact | CHARLES H MIDDLETON Owner 260-484-3136 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12008119) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12011467A) |
122300000X Dentist (Licence: IN 12007605) | |
Enumeration Date | 2010-08-19 |
Last Update Date | 2010-08-19 |