Individual
MR. CHARLES ROBERT DAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1 LARKSPUR PLAZA DR, LARKSPUR, CA 94939-1471
(415) 924-6226
Mailing address
34 1/2 WILLOW AVE, FAIRFAX, CA 94930-8001
(415) 879-1240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19799
CA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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