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Individual
DR. CHARLES FREDRICK HABEKOST
Active
Individual
DR. CHARLES FREDRICK HABEKOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D31621
CA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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