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Individual
H CHARLES JELINEK JR.
Active
Individual
H CHARLES JELINEK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
VA7079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7394890001
PTAN
VA
01
—
VA7079
VIGINIA LICENSE
VA
Enumeration date
04/17/2007
Last updated
09/15/2016
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