Individual
DR. CHARLES R MEDEARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1902 COUNTRY CLUB DR, SUITE 150, CARROLLTON, TX 75006-5811
(972) 416-4272
(972) 418-9103
Mailing address
1902 COUNTRY CLUB DR, SUITE 150, CARROLLTON, TX 75006-5811
(972) 416-4272
(972) 418-9103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15352TX
TX
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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