Gongloff, Charles Monroe

Gongloff, Charles Monroe is an sole proprietor health care provider with primary practice located at 10 W Broadway , Bel Air MD 21014-3555. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gongloff, Charles Monroe can be contacted via phone (410) 838-5223.

Contact Information

Primary practice address
10 W Broadway Bel Air MD 21014-3555
Phone: (410) 838-5223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5801 Maryland

Profile Details

NPI number 1184771578
LBN Legal business name Gongloff, Charles Monroe
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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