Individual
DR. CHARLES A WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1815 MONTAGUE AVENUE, EXTENSION UNIT 2, GREENWOOD, SC 29649
(864) 223-8600
Mailing address
1815 MONTAGUE AVENUE, EXTENSION UNIT 2, GREENWOOD, SC 29649
(864) 223-8600
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1514112
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z15145
—
SC
Enumeration date
04/17/2007
Last updated
07/08/2007
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