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1134501141
CHARLES A. POBLENZ
JACKSONVILLE, FL
NPI
1134501141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 21362)
Enumeration Date
2015-06-25
Last Update Date
2020-07-17
Business Address
CHARLES A. POBLENZ DMD
3647 HENDRICKS AVE
JACKSONVILLE, FL 32207-5360
Phone number: 904-396-4091
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Mailing Address
CHARLES A. POBLENZ DMD
3647 HENDRICKS AVE
JACKSONVILLE, FL 32207-5360
Phone number: 904-396-4091
Copy
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