Charles A Harrell, D.d.s., P.l. | |
624 S Ridgewood Ave Ste C Daytona Beach FL 32114-4966 | |
(386) 258-7500 | |
(386) 238-5388 |
Full Name | Charles A Harrell, D.d.s., P.l. |
---|---|
Speciality | Dentist - General Practice |
Location | 624 S Ridgewood Ave Ste C, Daytona Beach, Florida |
Authorized Official Name and Position | Anna Harrell (OFFICE MANAGER) |
Authorized Official Contact | 3862587500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles A Harrell, D.d.s., P.l. 624 S Ridgewood Ave Ste C Daytona Beach FL 32114-4966 Ph: (386) 258-7500 | Charles A Harrell, D.d.s., P.l. 624 S Ridgewood Ave Ste C Daytona Beach FL 32114-4966 Ph: (386) 258-7500 |
NPI Number | 1144244716 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144244716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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