Individual
DR. CHARLES GORDON NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
8082 GRAND RIVER RD, BRIGHTON, MI 48114
(810) 227-1950
(810) 227-3414
Mailing address
8082 GRAND RIVER RD, BRIGHTON, MI 48114
(810) 227-1950
(810) 227-3414
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901010463
MI
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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