Individual
DR. DANIEL JOSEPH CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13983 MANGO DR, SUITE 101, DEL MAR, CA 92014-3131
(858) 481-8848
(858) 481-6358
Mailing address
13983 MANGO DR, SUITE 101, DEL MAR, CA 92014-3131
(858) 481-8848
(858) 481-6358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
866637
UNITED CONCORDIA PROVIDER
CA
Enumeration date
03/21/2007
Last updated
07/08/2007
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