| Charles Dental Group | |
|
12344 Fair Oaks Blvd Ste A Fair Oaks CA 95628-2546 | |
| (916) 721-3367 | |
| (916) 583-7445 |
| Full Name | Charles Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12344 Fair Oaks Blvd Ste A, Fair Oaks, California |
| Authorized Official Name and Position | Blair Vernal Moser (OWNER) |
| Authorized Official Contact | 9167213368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Dental Group 12344 Fair Oaks Blvd Ste A Fair Oaks CA 95628-2546 Ph: (916) 721-3367 | Charles Dental Group 12344 Fair Oaks Blvd Ste A Fair Oaks CA 95628-2546 Ph: (916) 721-3367 |
| NPI Number | 1245634682 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245634682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40472 (California) | Primary |
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