Individual
MR. CHARLES JUSTIN HORAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7266 EDGEWORTH RD, MECHANICSVILLE, VA 23111
(804) 746-3688
Mailing address
7266 EDGEWORTH RD, MECHANICSVILLE, VA 23111
(804) 746-3688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005157
VA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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