Individual
DR. CHARLES LOUIS HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
600 COUNTRY CLUB RD, LUMBERTON, NC 28360-0428
(910) 737-6457
(910) 739-7673
Mailing address
600 COUNTRY CLUB RD, LUMBERTON, NC 28360-0428
(910) 737-6457
(910) 739-7673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12784
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
06/15/2022
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