Organization
CHARLES A HARRELL, D.D.S., P.L.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA HARRELL (OFFICE MANAGER)
(386) 258-7500
Entity
Organization
Contact information
Practice address
624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL 32114-4966
(386) 258-7500
(386) 238-5388
Mailing address
624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL 32114-4966
(386) 258-7500
(386) 238-5388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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