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DR. CHARLES THOMAS MARSHALL DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1245430305

Individual Registrant:
DR. CHARLES THOMAS MARSHALL DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
250 FORT ST  NEAH BAY, WA 98357-0410 US
Tel: 360-645-2233  Fax: 360-645-2305

Contact information for business:
250 FORT ST  NEAH BAY, WA 98357-0410 US
Tel: 360-645-2233  Fax: 360-645-2305

Registration Information:
NPI: 1245430305
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
WADE60107500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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