Individual
DR. CHARLES MARTIN HANNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 MATTIE HARRIS RD, CENTERVILLE, IN 47330-1335
(765) 855-3435
(765) 855-2590
Mailing address
100 MATTIE HARRIS RD, CENTERVILLE, IN 47330-1335
(765) 855-3435
(765) 855-2590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007996
IN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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