Individual
CHARLES R HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.A.G.D.
Contact information
Practice address
120 E HERITAGE DR, TYLER, TX 75703-5120
(903) 561-5610
(903) 509-9267
Mailing address
120 E HERITAGE DR, TYLER, TX 75703-5120
(903) 561-5610
(903) 509-9267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8673
TX
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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