Individual
CHARLES SHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 MAPLE GROVE CHURCH RD, DUNN, NC 28334
(877) 935-5255
Mailing address
3331 EASY ST, DUNN, NC 28334-7988
(877) 935-5255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11057
NC
Other
Enumeration date
06/01/2018
Last updated
07/05/2018
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