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Individual

CHARLES G ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
550 UNIVERSITY BLVD # UH3195, INDIANAPOLIS, IN 46202
(317) 274-8300
(317) 274-8300
Mailing address
322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242-1001
(319) 335-7440
(319) 335-7451

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
09397
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
LDR180202
IN

Other

Enumeration date
06/20/2017
Last updated
07/03/2018
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