Individual
DR. CHARLES CHAMPION JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1170 N 63RD ST, PHILADELPHIA, PA 19151-3208
(215) 473-4717
(215) 877-2022
Mailing address
1170 N 63RD ST, PHILADELPHIA, PA 19151-3208
(215) 473-4717
(215) 877-2022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO26682L
PA
Other
Enumeration date
05/27/2008
Last updated
02/05/2021
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