Charles Champion SR.

NPI 1841458932 - Dentist - 122300000X

NPI Details
NPI 1841458932
Gender Male
Enumeration Date 05/27/2008
Last Updated 05/27/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1170 N 63RD ST
PHILADELPHIA PA, 19151-3208, US
Phone (215) 473-4717
Fax (215) 877-2022
Business Location
1170 N 63RD ST
PHILADELPHIA PA, 19151-3208, US
Phone (215) 473-4717
Fax (215) 877-2022
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DSO26682L
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According to our database, Dr. Charles Champion SR. NPI is 1841458932, taxonomy code is 122300000X and license number is DSO26682L, license state is located at Pennsylvania. Charles Champion SR. physically located at 1170 N 63rd St, Philadelphia PA, 19151-3208. NPI Number Charles Champion SR. has the Individual type.

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1841458932 NPI number is provided on an as is basis without warranty of any kind. 1841458932 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Champion SR. are for informational purposes only.