Individual
DR. CHARLES WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2735 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8100
(607) 739-2150
Mailing address
2570 HONEYSUCKLE LN, ELMIRA, NY 14903-9352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046592
NY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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