Individual
CHARLES HARDIN PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9339 E 21ST ST N, WICHITA, KS 67206-2971
(316) 630-9339
(316) 630-9353
Mailing address
9339 E 21ST ST N, WICHITA, KS 67206-2971
(316) 630-9339
(316) 630-9353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5979
MO
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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