Individual
CHARLES DANIEL HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14377 WOODLAKE DR, STE 211, CHESTERFIELD, MO 63017-5735
(314) 576-1777
(314) 576-4584
Mailing address
14377 WOODLAKE DR, SUITE 211, CHESTERFIELD, MO 63017-5735
(314) 576-1777
(314) 576-4584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014015546
MO
Other
Enumeration date
11/03/2014
Last updated
05/11/2017
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