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1588653414
CHARLES JEFFERSON THOM
MISSION VIEJO, CA
NPI
1588653414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 30495)
Enumeration Date
2005-10-13
Last Update Date
2007-07-08
Business Address
Dr. CHARLES JEFFERSON THOM DDS
22922 LOS ALISOS BLVD STE J
MISSION VIEJO, CA 92691-2856
Phone number: 949-855-0176
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Mailing Address
Dr. CHARLES JEFFERSON THOM DDS
22922 LOS ALISOS BLVD STE J
MISSION VIEJO, CA 92691-2856
Phone number: 949-855-0176
Copy
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