Individual
DR. SUSAN CHRISTINE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2160
Mailing address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018011364
MO
Other
Enumeration date
06/10/2008
Last updated
06/12/2018
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