Individual
DR. CHARLES WILLIAM HANNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
53 TEMPLE ST, FREDONIA, NY 14063-1705
(716) 672-5113
(716) 672-5113
Mailing address
53 TEMPLE ST, FREDONIA, NY 14063-1705
(716) 672-5113
(716) 672-5113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037280-1
NY
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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