Individual provider · Type 1 NPI
Charles Wesley Ketcham, DDS
General Practice Dentistry · Thousand Oaks, CA
NPI number
1174667216
Active
Practice location
228 Lombard St Ste C
Thousand Oaks, CA 91360-8202
Fax (805) 496-0351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 23839 (CA) |
General Practice Dentistry: 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.
Another provider at this address
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About NPI 1174667216
Charles Wesley Ketcham, DDS's National Provider Identifier is 1174667216, issued on Feb 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Thousand Oaks, CA. The record was last updated on Jul 8, 2007.