Individual
DR. CHARLES ANTHONY DIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13713 ROUTE 11, ADAMS CENTER, NY 13606
(716) 380-2933
Mailing address
PO BOX 263, ADAMS CENTER, NY 13606-0263
(716) 380-2933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
P64020
NY
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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