Individual
CHARLES EDWARD JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
488 EAST VALLEY PARKWAY, SUITE 307, ESCONDIDO, CA 92025-3373
(760) 739-1400
(760) 739-1100
Mailing address
488 EAST VALLEY PARKWAY, SUITE 307, ESCONDIDO, CA 92025-3373
(760) 739-1400
(760) 739-1100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
37237
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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