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Individual
DR. CHARLES L ANZALONE SR.
Active
Individual
DR. CHARLES L ANZALONE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
3522
LA
1223G0001X
General Practice Dentistry
Primary
3522
LA
Other
Enumeration date
12/05/2006
Last updated
09/11/2025
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