Charles L. Sours JR. D.D.S.

NPI 1811919087 - Dentist - 1223G0001X

NPI Details
NPI 1811919087
Gender Male
Enumeration Date 07/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12606 LAKE RIDGE DR # A
WOODBRIDGE VA, 22192-2335, US
Phone (703) 491-2131
Fax
Business Location
12606 A. LAKE RIDGE DRIVE
WOODBRIDGE VA, 22192, US
Phone (703) 491-2131
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 4304
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According to our database, Dr. Charles L. Sours JR. D.D.S. NPI is 1811919087, taxonomy code is 1223G0001X and license number is 4304, license state is located at Virginia. Charles L. Sours JR. D.D.S. physically located at 12606 Lake Ridge Dr # A, Woodbridge VA, 22192-2335. NPI Number Charles L. Sours JR. D.D.S. has the Individual type.

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1811919087 NPI number is provided on an as is basis without warranty of any kind. 1811919087 is maintained by the National Plan & Provider Enumeration System. The contents of Charles L. Sours JR. D.D.S. are for informational purposes only.