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Charles William Dorman JR., DDSMS
Prosthodontist in Stockton, California
NPI 1922173632

Charles William Dorman JR. is a Prosthodontist based in Stockton, CA and is specialized in Prosthodontics. Charles William Dorman JR. practices in Stockton, CA and has the professional credentials of DDSMS. The NPI Number for Charles William Dorman JR. is 1922173632 and holds a License No. 22339 (California).

The current practice location address for Charles William Dorman JR. is 4637 Quail Lakes Dr, Stockton, CA and can be reached out via phone at 209-235-7207 and via fax at 209-235-7210. You can also correspond with Charles William Dorman JR. through the mailing address at 4637 QUAIL LAKES DR, STOCKTON, CA - 95207-5258 (mailing address contact number: 209-235-7207).

Location: 4637 Quail Lakes Dr, Stockton, CA, 95207-5258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922173632
Provider Name
Charles William Dorman JR.
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
4637 Quail Lakes Dr, Stockton, CA, 95207-5258
Phone Number
209-235-7207
Fax Number
209-235-7210
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22339 01 CA CA. DENTAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4637 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5258
Phone Number
209-235-7207
Fax Number
209-235-7210
person
Provider Business Mailing Address Details
Address
4637 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5258
Phone Number
209-235-7207
Fax Number
209-235-7210
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
22339 (California)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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