Most Relevant Information
Provider Data
| NPI Number: | 1003079930 |
| Provider Name: | CHARLES DANIEL DENT DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 0401004623 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 07/10/2008 |
Provider Practice Location
2806 OAKTON MANOR CT
OAKTON
VA
221243011
Practice Location Phone/Fax
| Phone: | 7039381369 |
| Fax: |
Provider Mailing Location
2806 OAKTON MANOR CT
OAKTON
VA
221243011
Provider Mailing Phone/Fax
| Phone: | 7039381369 |
| Fax: |