Individual
CHARLES MARK CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1086 WYOMING AVE, FORTY FORT, PA 18704-4014
(570) 331-0909
(570) 714-5184
Mailing address
1086 WYOMING AVE, FORTY FORT, PA 18704-4014
(570) 331-0909
(570) 714-5184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030179L
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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