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Individual

CHARLES REESE MEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
101 RIVERIA DR, LAKE HAVASU, AZ 86406
(928) 855-5061
Mailing address
624 FURGOL LN, C REESE MEAD DDS, LAKE HAVASU, AZ 86406
(928) 453-3285

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3223
AZ

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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