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Individual

DR. CHARLES EDWARD SCHOLLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3265 SOMIS RD., SOMIS, CA 93066-0608
(805) 386-3199
(805) 386-4089
Mailing address
PO BOX 608, SOMIS, CA 93066-0608
(805) 386-3199
(805) 386-4089

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33368
CA

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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