Individual
CHARLES MICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7650 BELAIR RD, BALTIMORE, MD 21236-4088
(410) 668-5151
Mailing address
7650 BELAIR RD, BALTIMORE, MD 21236-4088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10197
MD
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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