Individual
DR. CHARLES RANDALL HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 E ADAMS ST, WINAMAC, IN 46996-1567
(574) 946-6747
(574) 946-4323
Mailing address
201 E ADAMS ST, WINAMAC, IN 46996-1567
(574) 946-6747
(574) 946-4323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007612A
IN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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