Individual
CHARLES MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2328 W JOPPA RD, SUITE 102, LUTHERVILLE, MD 21093-4612
(410) 296-8050
(410) 296-8052
Mailing address
15 OLD LYME RD, LUTHERVILLE, MD 21093-3719
(410) 560-0009
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10061
MD
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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