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1609825850
CHARLES F DEFREEST
JBSA LACKLAND, TX
NPI
1609825850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: CA 30324)
Enumeration Date
2006-05-08
Last Update Date
2021-02-12
Business Address
Dr. CHARLES F DEFREEST DDS, FACP
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-8488
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Mailing Address
Dr. CHARLES F DEFREEST DDS, FACP
133 LABURNUM DR
SAN ANTONIO, TX 78209-2121
Phone number: 210-865-5035
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