Organization
CHARLES W JANES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W JANES D.D.S. (GENERAL DENTIST)
(573) 221-3360
Entity
Organization
Contact information
Practice address
501 CLINIC RD, HANNIBAL, MO 63401-3605
(573) 221-3360
(573) 221-1472
Mailing address
501 CLINIC RD, HANNIBAL, MO 63401-3605
(573) 221-3360
(573) 221-1472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE015296
MO
1223G0001X
General Practice Dentistry
DE015702
MO
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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