Individual
DR. CHARLES ROBERT MCCORMICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 S MAIN ST, SPRINGBORO, OH 45066
(937) 748-2616
(937) 748-2807
Mailing address
100 S MAIN ST, SPRINGBORO, OH 45066
(937) 748-2616
(937) 748-2807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13132
OH
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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