NPI 1124152517

Charles Bonner Oates, DDS

Practitioner General Practice Dentistry Socorro, NM

Practice location

Address: 210 Neel Ave, Socorro, NM 87801-4649
Phone: (505) 835-1623
Fax: (505) 835-3033

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DD1385 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1124152517
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.