Organization
SUSAN C CHARLES DDS LLC
Active
Other names
Foundations of Dental Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN CHRISTINE CHARLES DDS (PRESIDENT)
(816) 233-0142
Entity
Organization
Contact information
Practice address
3815 BECK RD, SAINT JOSEPH, MO 64506-4944
(816) 233-0142
Mailing address
3815 BECK RD, SAINT JOSEPH, MO 64506-4944
(816) 233-0142
(816) 364-2048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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