Individual
CHARLES EUGENE RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
507 E BRAZOS ST, VICTORIA, TX 77901-5261
(361) 576-5155
(361) 576-9228
Mailing address
507 E BRAZOS ST, VICTORIA, TX 77901-5261
(361) 576-5155
(361) 576-9228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11676
TX
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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