Individual
DR. CHARLES ANDERSON DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4801 VETERANS DRIVE, SAINT CLOUD, MN 56303
(320) 255-6373
Mailing address
4801 VETERANS DRIVE, SAINT CLOUD, MN 56303
(320) 255-6373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005888
VA
Other
Enumeration date
09/05/2006
Last updated
01/28/2010
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