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Organization
CHARLES F. HABEKOST, D.D.S., DENTAL CORPORATION
Active
Organization
CHARLES F. HABEKOST, D.D.S., DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FREDRICK HABEKOST D.D.S. (PRESIDENT)
(408) 629-9200
Entity
Organization
Contact information
Practice address
827 BLOSSOM HILL ROAD, W-7, SAN JOSE, CA 95123
(408) 629-9200
Mailing address
827 BLOSSOM HILL ROAD, W-7, SAN JOSE, CA 95123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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