Individual
DR. CHARLES A BOOKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
60 TIMBER LANE, SO BURLINGTON, VT 05403
(802) 264-6909
(802) 862-8942
Mailing address
60 TIMBER LANE, SO BURLINGTON, VT 05403
(802) 264-6909
(802) 862-8942
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0160002050
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006382
—
VT
Enumeration date
10/02/2006
Last updated
07/08/2007
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