Individual
DR. CHARLES ELAM SCULL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
7230 BRIAR PL, SAN ANTONIO, TX 78221-1600
(210) 921-9191
(210) 921-2408
Mailing address
7230 BRIAR PL, SAN ANTONIO, TX 78221-1600
(210) 921-9191
(210) 921-2408
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8840
TX
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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