Provider Demographics
NPI:1780890996
Name:LOW, CHARLES C (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:C
Last Name:LOW
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:2258 FOOTHILL BLVD
Mailing Address - Street 2:800
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1457
Mailing Address - Country:US
Mailing Address - Phone:818-236-3636
Mailing Address - Fax:818-236-4843
Practice Address - Street 1:2258 FOOTHILL BLVD
Practice Address - Street 2:800
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-1457
Practice Address - Country:US
Practice Address - Phone:818-236-3636
Practice Address - Fax:818-236-4843
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2009-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA345171223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics