Individual
DR. CHARLES LAWRENCE CHISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
613 BEECHMONT RD, LEXINGTON, KY 40502-2835
(859) 608-4118
(859) 608-4118
Mailing address
613 BEECHMONT RD, LEXINGTON, KY 40502-2835
(859) 608-4118
(859) 608-4118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4570
KY
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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