Individual
DR. CHARLES A. HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1830 S 11TH ST, CHESTERTON, IN 46304-9381
(219) 926-1463
(219) 926-1169
Mailing address
1830 S 11TH ST, CHESTERTON, IN 46304-9381
(219) 926-1463
(219) 926-1169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9510
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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