Individual
CHARLES CONNALLY GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5616 SW GREEN OAKS BLVD STE 1, ARLINGTON, TX 76017-1159
(817) 572-3351
(817) 561-4223
Mailing address
5616 SW GREEN OAKS BLVD STE 1, ARLINGTON, TX 76017-1159
(817) 572-3351
(817) 561-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TX 12565
TX
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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