Individual
DR. CHARLES WALTER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1319 CAULKS HILL RD, SAINT CHARLES, MO 63304-6863
(636) 441-3430
Mailing address
601 HIDDEN LAKE DR, SAINT PETERS, MO 63376-3307
(636) 928-3302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013916
MO
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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