Individual
DR. CHARLES DOUGLAS MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10427 KENWOOD RD, BLUE ASH, OH 45242-3823
(513) 984-3817
(513) 984-3818
Mailing address
10427 KENWOOD RD, BLUE ASH, OH 45242-3823
(513) 984-3817
(513) 984-3818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023252
OH
Other
Enumeration date
08/31/2010
Last updated
03/19/2013
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