Individual
DR. CHARLES THOMAS MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3233 63RD ST, SUITE A, LUBBOCK, TX 79413-5742
(806) 589-3390
(806) 686-0979
Mailing address
3233 63RD ST, SUITE A, LUBBOCK, TX 79413-5742
(806) 589-3390
(806) 686-0979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23343
TX
Other
Enumeration date
02/21/2008
Last updated
04/09/2010
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