Individual
DR. CHARLES M SAMPOGNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1219 N 19TH ST, MONROE, LA 71201-5435
(318) 387-2145
(318) 323-7739
Mailing address
1219 N 19TH ST, MONROE, LA 71201-5435
(318) 387-2145
(318) 323-7739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3883
LA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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