Individual
DR. CHARLES K DARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
62968 OBRILEY RD #12, BEND, OR 97701
(541) 330-6445
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5036
OR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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