Individual
DR. CHARLES CALVIN HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1505 EMERALD PLZ, COLLEGE STATION, TX 77845-1501
(979) 764-7101
(979) 764-7115
Mailing address
1505 EMERALD PLZ, COLLEGE STATION, TX 77845-1501
(979) 764-7101
(979) 764-7115
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29517
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6229
OK
Other
Enumeration date
08/01/2010
Last updated
06/20/2014
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