Individual
DR. CHARLES GLENN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 11TH ST, WICHITA FALLS, TX 76301-5050
(940) 723-4512
(940) 767-2386
Mailing address
1700 11TH ST, WICHITA FALLS, TX 76301-5050
(940) 723-4512
(940) 767-2386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11782
TX
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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