Individual
DR. CHARLES WESLEY SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17 E 38TH ST, MINNEAPOLIS, MN 55409-1341
(612) 825-7835
(612) 825-3819
Mailing address
976 LYDIA DR W, ROSEVILLE, MN 55113-1923
(651) 766-8260
(612) 825-3819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9005
MN
Other
Enumeration date
10/21/2006
Last updated
07/09/2007
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