Organization
CHARLES G. STONE, JR. DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G STONE JR. DDS (PRESIDENT)
(903) 597-2848
Entity
Organization
Contact information
Practice address
3100 NEW COPELAND RD., TYLER, TX 75701
(903) 597-2848
Mailing address
3100 NEW COPELAND RD, TYLER, TX 75701
(903) 597-2848
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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