Individual
DR. CHARLES MONROE GONGLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 W BROADWAY, BEL AIR, MD 21014-3555
(410) 838-5223
Mailing address
2113 HAMPTON CT, FALLSTON, MD 21047-2020
(410) 879-8606
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5801
MD
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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