Individual
DR. CHARLES STEPHEN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
628 FLEET STREET, BROOKINGS, OR 97415
(541) 412-8858
(541) 412-9231
Mailing address
PO BOX 4070, 628 FLEET STREET, BROOKINGS, OR 97415
(541) 412-8858
(541) 412-9231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8382
OR
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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