Individual
MR. CHARLES WALES MOULTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2431 W MAIN ST, SUITE 601, DOTHAN, AL 36301
(334) 793-3651
(334) 702-9677
Mailing address
2431 W MAIN ST, SUITE 601, DOTHAN, AL 36301
(334) 793-3651
(334) 702-9677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2529
AL
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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