Individual
CHARLES GREGORY STEPHEN-HASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1003 SUSHRUTA DR, MARTINSBURG, WV 25401-8876
(304) 263-3367
(304) 263-1634
Mailing address
67 RIPE BERRY LN, MARTINSBURG, WV 25403-4882
(617) 759-2261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3673
WV
Other
Enumeration date
09/13/2005
Last updated
05/28/2009
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