Individual
CHARMIAH AMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3873 HWY 64 W, TYLER, TX 75704-6925
(903) 593-4872
Mailing address
2057 YASMEEN CIR, FLINT, TX 75762-6733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122511
GA
1223G0001X
General Practice Dentistry
36314
TX
Other
Enumeration date
07/16/2020
Last updated
08/21/2023
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