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Individual
DR. CHARLES JACKSON VAN METER III
Active
Individual
DR. CHARLES JACKSON VAN METER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0S466-13
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5853
LA
Other
Enumeration date
05/21/2008
Last updated
07/18/2013
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