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Individual

MR. CHARLES GEORGE HINTERBERGER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
125 EAST PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5544
(814) 942-4699
(814) 942-4699
Mailing address
125 EAST PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5544
(814) 942-4699
(814) 942-4699

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS023665L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
467462
UNITED CONCORDIA
PA
01
81829
UNISON
PA
Enumeration date
09/01/2006
Last updated
07/08/2007
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