Individual
DR. CHARLES EDWARD CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D, PH.D, M.S,M.S
Contact information
Practice address
1111 E END BLVD, VA MEDICAL CENTER, DENTAL SERVICES, WILKES BARRE, PA 18711-0030
(570) 821-7231
(570) 819-5153
Mailing address
PO BOX 85, 17 WYNDHAM DRIVE, CRESCO, PA 18326-0085
(570) 561-4989
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6739
KY
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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