Poole, Charles Preston

Poole, Charles Preston is an individual health care provider with primary practice located at 4101 Tully Rd Ste 201 , Modesto CA 95356-8981. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Poole, Charles Preston can be contacted via phone (209) 577-0777.

Contact Information

Primary practice address
4101 Tully Rd Ste 201 Modesto CA 95356-8981
Phone: (209) 577-0777
Fax: (209) 572-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 100373 California
Dental Providers / General Practice 1223G0001X 9142 South Carolina

Profile Details

NPI number 1851834964
LBN Legal business name Poole, Charles Preston
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2016
Last updated Dec 27th, 2018 - about 8 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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