Individual
DR. CHARLESPAUL T ANONUEVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8810 BLAKENEY PROFESSIONAL DR STE 120, CHARLOTTE, NC 28277-6654
(704) 540-1900
(844) 891-7162
Mailing address
8810 BLAKENEY PROFESSIONAL DR STE 120, CHARLOTTE, NC 28277-6654
(704) 540-1900
(844) 891-7162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8858
NC
1223G0001X
General Practice Dentistry
019027110
IL
Other
Enumeration date
08/04/2006
Last updated
07/21/2022
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