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Individual

DR. CHARLES FORRER ANDERSON MCCLUER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3600 HULEN ST, BLDG. A1, FORT WORTH, TX 76107-6863
(817) 731-2661
(817) 731-2665
Mailing address
3600 HULEN ST, BLDG. A1, FORT WORTH, TX 76107-6863
(817) 731-2661
(817) 731-2665

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12214
TX

Other

Enumeration date
07/13/2005
Last updated
07/08/2007
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