Individual
DR. CHARLES M REPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10333 KUYKENDAHL, SUITE A, THE WOODLANDS, TX 77382
(281) 296-9562
(281) 296-9774
Mailing address
4185 TECHNOLOGY FOREST BLVD, SUITE 120, THE WOODLANDS, TX 77381-2006
(281) 296-9562
(281) 296-9774
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12889
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12889
TX
Other
Enumeration date
06/24/2005
Last updated
12/18/2015
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