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Individual
TRYPHOSE CHARLES
Active
Individual
TRYPHOSE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
008039
CT
1223G0001X
General Practice Dentistry
Primary
009908
AZ
Other
Enumeration date
01/10/2007
Last updated
04/27/2018
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