| Charles E. Rader, D.d.s. | |
|
805 E Mockingbird Ln Suite A Victoria TX 77904-2145 | |
| (361) 576-5155 | |
| (361) 576-1613 |
| Full Name | Charles E. Rader, D.d.s. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 805 E Mockingbird Ln, Victoria, Texas |
| Authorized Official Name and Position | Charles E Rader (DENTIST) |
| Authorized Official Contact | 3615765155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E. Rader, D.d.s. 805 E Mockingbird Ln Suite A Victoria TX 77904-2145 Ph: (361) 576-5155 | Charles E. Rader, D.d.s. 805 E Mockingbird Ln Suite A Victoria TX 77904-2145 Ph: (361) 576-5155 |
| NPI Number | 1225118300 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225118300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 11676 (Texas) | Primary |
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