Organization
CHARLES R PAYERLE DDS, MD PLLC
Active
Organization
CHARLES R PAYERLE DDS, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RICHARD PAYERLE DDS (PRESIDENT)
(817) 568-6811
Entity
Organization
Contact information
Practice address
12001 SOUTH FWY STE 207, BURLESON, TX 76028-7214
(817) 568-6811
(817) 568-6813
Mailing address
12001 SOUTH FWY STE 207, BURLESON, TX 76028-7214
(817) 568-6811
(817) 568-6813
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
23735
TX
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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