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1881774750
CHARLES JOSEPH PORTALES
CONROE, TX
NPI
1881774750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 19018)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. CHARLES JOSEPH PORTALES DDS
2101 MAUREL DRIVE
CONROE, TX 77304
Phone number: 936-494-0200
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Mailing Address
Dr. CHARLES JOSEPH PORTALES DDS
11 WEDGEWOOD BLVD
CONROE, TX 77304-1349
Phone number: 936-441-6079
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