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Individual

DR. CHARLES ALLEN WARD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1104 KENILWORTH DR, STE 102, BALTIMORE, MD 21204-2101
(410) 583-7010
(410) 583-2272
Mailing address
1104 KENILWORTH DR, STE 102, BALTIMORE, MD 21204-2101
(410) 583-7010
(410) 583-2272

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14122
MD

Other

Enumeration date
08/05/2008
Last updated
04/14/2009
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