Individual
DR. CHARLES A HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL 32114-4966
(386) 258-7500
(386) 238-5388
Mailing address
624 S RIDGEWOOD AVE STE C, DAYTONA BEACH, FL 32114-4966
(386) 258-7500
(386) 238-5388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3953
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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