Individual
DR. CHARLES DANIEL BELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2059 S HOUSTON LEVEE RD, 126, GERMANTOWN, TN 38139-6970
(901) 853-9800
(901) 853-9488
Mailing address
4950 GWYNNE RD, MEMPHIS, TN 38117-3300
(901) 761-0473
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3602
TN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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