Individual
MR. CHARLES KEELER PAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
931 N MAIN STREET, SUITE A3, PLEASANTVILLE, NJ 08232
(609) 646-3890
(609) 646-3751
Mailing address
814 NEW YORK AVE, ABSECON, NJ 08201
(609) 646-3434
(609) 646-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D100884400
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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