Individual
DR. CHARLES CRAIG PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6552 BOLSA AVE, SUITE Q, HUNTINGTON BEACH, CA 92647-2656
(714) 897-8980
(714) 897-6991
Mailing address
6552 BOLSA AVE, SUITE Q, HUNTINGTON BEACH, CA 92647-2622
(714) 897-8980
(714) 897-6991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30271
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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