Individual
DR. CHARLES L. BILLERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2019 ROUTE 112, SUITE #1, CORAM, NY 11727-4512
(631) 736-4922
(631) 736-4851
Mailing address
2019 ROUTE 112, SUITE #1, CORAM, NY 11727-4512
(631) 736-4922
(631) 736-4851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0402171
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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