| Charles O. Du Bois, D.d.s. Ltd | |
|
65015 Old 21 Rd Cambridge OH 43725-9621 | |
| (740) 439-2962 | |
| (740) 439-0502 |
| Full Name | Charles O. Du Bois, D.d.s. Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65015 Old 21 Rd, Cambridge, Ohio |
| Authorized Official Name and Position | Charles Oscar Du Bois (OWNER) |
| Authorized Official Contact | 7404392962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles O. Du Bois, D.d.s. Ltd 65015 Old 21 Rd Cambridge OH 43725-9621 Ph: (740) 439-2962 | Charles O. Du Bois, D.d.s. Ltd 65015 Old 21 Rd Cambridge OH 43725-9621 Ph: (740) 439-2962 |
| NPI Number | 1235399411 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235399411 | NPI | - | NPPES |
| 2164410 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30. 021017 (Ohio) | Primary |
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