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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 F. HABEKOST D.D.S. (PRESIDENT)
(209) 533-0132
Entity
Organization
Contact information
Practice address
940 SYLVA LN STE F1, SONORA, CA 95370-5969
(209) 533-0132
Mailing address
940 SYLVA LN STE F1, SONORA, CA 95370-5969
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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