Individual
DR. CHARLES THOMAS SIMMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1392 WEIMER RD, SUITE B, TAOS, NM 87571-1931
(505) 758-8303
(505) 737-5737
Mailing address
1392 WEIMER RD, SUITE B, TAOS, NM 87571-1931
(505) 758-8303
(505) 737-5737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1078
NM
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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