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Organization

CHARLES G NEW DDS MS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES G NEW DDS (PRESIDENT)
(336) 659-6640
Entity
Organization

Contact information

Practice address
1900 S HAWTHORNE RD, SUITE 254, WINSTON SALEM, NC 27103-3913
(336) 659-6640
(336) 659-3890
Mailing address
1900 S HAWTHORNE RD, SUITE 254, WINSTON SALEM, NC 27103-3913
(336) 659-6640
(336) 659-3890

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5762
NC

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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