Individual
CHARLES GREGORY HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
446 ALTA RD, SUITE 5400, SAN DIEGO, CA 92158-0001
(619) 710-8353
Mailing address
1365 CAMINITO AMERIGO, #47, CHULA VISTA, CA 91915-3137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030150L
PA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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