Individual
DR. CHARLES N DEWILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
205 BELLAGIO CIR, SANFORD, FL 32771-5001
(407) 330-3250
(407) 330-3209
Mailing address
205 BELLAGIO CIR, SANFORD, FL 32771-5001
(407) 330-3250
(407) 330-3209
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14841
FL
Other
Enumeration date
10/24/2006
Last updated
09/19/2012
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