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Individual
DR. CHARLES DOUGLAS BOXX
Active
Individual
DR. CHARLES DOUGLAS BOXX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0447000105
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/21/2014
Last updated
06/27/2019
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