Individual
CHARLES ARTHUR SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5406 39TH ST, GROVES, TX 77619-2914
(409) 962-3733
(409) 962-5757
Mailing address
5406 39TH ST, GROVES, TX 77619-2914
(409) 962-3733
(409) 962-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12761
TX
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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