Individual
DR. CHARLESTON ESPANOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6360 GARTH RD #105, BAYTOWN, TX 77521
(954) 790-2037
Mailing address
9407 SUNDANCE DR, PEARLAND, TX 77584-2893
(954) 790-2037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34074
TX
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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