Individual
DR. CHARLES ALEXANDER PORTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 SOUTH SHARON AMITY RD, SUITE 200, CHARLOTTE, NC 28211
(204) 364-9000
(204) 364-7377
Mailing address
135 SOUTH SHARON AMITY RD, SUITE 200, CHARLOTTE, NC 28211
(204) 364-9000
(204) 364-7377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6168
NC
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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