Individual
MR. CHARLES R VENNERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 DANIEL DR., SUITE 3, UNIONTOWN, PA 15401
(724) 437-0937
(724) 437-1708
Mailing address
110 DANIEL DR., SUITE 3, UNIONTOWN, PA 15401
(724) 437-0937
(724) 437-1708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022954L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009110770003
—
PA
01
—
66726
UNISON
PA
Enumeration date
08/11/2006
Last updated
07/09/2007
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