Individual
CHARLES C HUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
57 BEDFORD STREET, SUITE 205 ICON DPMG LLC DBA ICON DENTAL, LEXINGTON, MA 02420
(781) 861-6401
(781) 861-6258
Mailing address
57 BEDFORD STREET, LEXINGTON, MA 02420
(781) 861-6401
(781) 861-6258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17777
MA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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