Organization
CHARLES E. RADER, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E RADER D.D.S. (DENTIST)
(361) 576-5155
Entity
Organization
Contact information
Practice address
805 E MOCKINGBIRD LN, SUITE A, VICTORIA, TX 77904-2145
(361) 576-5155
(361) 576-1613
Mailing address
805 E MOCKINGBIRD LN, SUITE A, VICTORIA, TX 77904-2145
(361) 576-5155
(361) 576-1613
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11676
TX
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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