Individual
DR. CHARLES F SQUIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 N CARRIAGE PKWY, WICHITA, KS 67208-4506
(316) 683-2525
(316) 683-9385
Mailing address
555 N CARRIAGE PKWY, WICHITA, KS 67208-4506
(316) 683-2525
(316) 683-9385
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4620
KS
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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