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Individual

DR. CHARLES E MONTOURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
2000 SHADY LANE, GREEN BAY, WI 54313-9311
(920) 499-3721
(920) 499-7502
Mailing address
2000 SHADY LANE, GREEN BAY, WI 54313-9311
(920) 499-3721
(920) 499-7502

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3860
WI

Other

Enumeration date
06/08/2007
Last updated
07/08/2007
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