Charles J Portales DDS PC

NPI #1801063151 in Conroe, Texas

Provider Information

NPI Number
1801063151
Entity Type
Organization
Organization Name
Charles J Portales DDS PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 14, 2008
Last Updated
May 14, 2008

Practice Location

Address
2101 MAUREL
City
Conroe
State
Texas
ZIP Code
77304-1231
Phone
(936) 441-3363

Authorized Official

Name
DR. CHARLES J PORTALES, DDS
Title
OWNER
Phone
(936) 441-3363

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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