Charles Leonard Gary JR. DDS

NPI 1811913817 - Dentist - 1223G0001X

NPI Details
NPI 1811913817
Gender Male
Enumeration Date 07/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6700 CROSSWINDS DRIVE
SUITE 300C
ST PETERSBURG FL, 33710-5482, US
Phone (727) 341-2422
Fax (727) 341-2720
Business Location
14186 WEST PARSLEY DRIVE
MADEIRA BEACH FL, 33708, US
Phone (727) 397-2131
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number D4773
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According to our database, Dr. Charles Leonard Gary JR. DDS NPI is 1811913817, taxonomy code is 1223G0001X and license number is D4773, license state is located at Florida. Charles Leonard Gary JR. DDS physically located at 6700 Crosswinds Drive, St Petersburg FL, 33710-5482. NPI Number Charles Leonard Gary JR. DDS has the Individual type.

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1811913817 NPI number is provided on an as is basis without warranty of any kind. 1811913817 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Leonard Gary JR. DDS are for informational purposes only.