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NPI Code Detail

MEDICARE: CHRISTOPHER PETER CHARD DMD

MEDICARE:   CHRISTOPHER PETER CHARD  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist15119FL

General Provider Information

NPI Number : 1396904389
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER PETER CHARD DMD
Provider Business Mailing Address
First Line : 201 MAITLAND AVE
Second Line : 1013
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4903
Country : US
Telephone Number : 407-834-0330
Fax Number :
Provider Business Practice Location Address
First Line : 201 MAITLAND AVE
Second Line : 1013
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-4903
Country : US
Telephone Number : 407-834-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 06/04/2008

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Directions to “ CHRISTOPHER PETER CHARD DMD” Practice Location

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