Individual
DR. CHARLES WAYNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22106 STATE HIGHWAY 71 W, SPICEWOOD, TX 78669-6115
(512) 264-9977
(512) 264-9517
Mailing address
22106 STATE HIGHWAY 71 W, SPICEWOOD, TX 78669-6115
(512) 264-9977
(512) 264-9517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9754
TX
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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