Individual
DR. CHARLOTTE ANN WALSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5443 EVERHART RD, STE B, CORPUS CHRISTI, TX 78411-4888
(361) 854-1234
(361) 854-1292
Mailing address
5443 EVERHART RD, STE B, CORPUS CHRISTI, TX 78411-4888
(361) 854-1234
(361) 854-1292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14830
TX
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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