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Dr. Charles Wesley Ketcham, DDS
General Practice Dentistry in Thousand Oaks, California
NPI 1174667216

Charles Wesley Ketcham is a General Practice Dentistry based in Thousand Oaks, CA and is specialized in General Practice. Charles Wesley Ketcham practices in Thousand Oaks, CA and has the professional credentials of DDS. The NPI Number for Charles Wesley Ketcham is 1174667216 and holds a License No. 23839 (California).

The current practice location address for Charles Wesley Ketcham is 228 Lombard St Ste C, Thousand Oaks, CA and can be reached out via phone at 805-496-3209 and via fax at 805-496-0351.

Location: 228 Lombard St Ste C, Thousand Oaks, CA, 91360-8202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174667216
Provider Name
Charles Wesley Ketcham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
228 Lombard St Ste C, Thousand Oaks, CA, 91360-8202
Phone Number
805-496-3209
Fax Number
805-496-0351
Provider Enumeration Date
02/19/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
228 Lombard St Ste C
City
Thousand Oaks
State
California
Zip
91360-8202
Phone Number
805-496-3209
Fax Number
805-496-0351
person
Provider Business Mailing Address Details
Address
228 Lombard St Ste C
City
Thousand Oaks
State
California
Zip
91360-8202
Phone Number
805-496-3209
Fax Number
805-496-0351
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
23839 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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