Organization
CARPENTER DENTAL CHARLES M. CARPENTER CHARLES M. CARPENTER JR. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MARK CARPENTER D.M.D. (PRESIDENT)
(570) 331-0909
Entity
Organization
Contact information
Practice address
1086 WYOMING AVE, FORTY FORT, PA 18704-4014
(570) 331-0909
(570) 714-5184
Mailing address
1086 WYOMING AVE, FORTY FORT, PA 18704-4014
(570) 331-0909
(570) 714-5184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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