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Individual

DR. CHARLES FREDRICK HABEKOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D,D.S.

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
1223P0300X
Periodontics
Primary
D31621
CA

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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