Individual
DR. CHARLES L.. CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1402 S ELLIOTT AVE STE A, AURORA, MO 65605-2154
(417) 678-5958
(417) 678-1519
Mailing address
1402 S ELLIOTT AVE STE A, AURORA, MO 65605-2154
(417) 678-5958
(417) 678-1519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12124
MO
1223G0001X
General Practice Dentistry
5135
KS
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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