Individual
DR. CHARLES EDWARD EHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4006 LAKE BLVD, ANNANDALE, VA 22003-2321
(703) 280-4355
(703) 280-4360
Mailing address
4006 LAKE BLVD, ANNANDALE, VA 22003-2321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA0401003606
VA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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