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Organization

CHARLES DUNLAP, DDS

Active
Other names
Charles I. Dunlap, D.D.S.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES IRVINE DUNLAP D.D.S. (OWNER)
(706) 858-7054
Entity
Organization

Contact information

Practice address
78 ALAMAR ST, FORT OGLETHORPE, GA 30742-7303
(706) 858-7054
(706) 858-7017
Mailing address
78 ALAMAR ST, FORT OGLETHORPE, GA 30742-7303
(706) 858-7054
(706) 858-7017

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DN009850
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
851675668A
GA
Enumeration date
04/04/2007
Last updated
07/23/2009
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