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1053443200
FRED LYNN EGELSTON
SAN JOSE, CA
NPI
1053443200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 031779)
Enumeration Date
2007-03-12
Last Update Date
2007-07-08
Business Address
Dr. FRED LYNN EGELSTON DDS
6501 CROWN BLVD STE 202
SAN JOSE, CA 95120-2903
Phone number: 408-268-7000
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Mailing Address
Dr. FRED LYNN EGELSTON DDS
6501 CROWN BLVD STE 202
SAN JOSE, CA 95120-2903
Phone number: 408-268-7000
Copy
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