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1205019239
BRETT A EGELSKE
THOUSAND OAKS, CA
NPI
1205019239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 54064)
Additional Taxonomies
122300000X Dentist
(Licence: IN 12009348A)
Enumeration Date
2007-12-13
Last Update Date
2016-09-22
Business Address
DR. BRETT A EGELSKE DDS
253 LOMBARD STREET SUITE C
THOUSAND OAKS, CA 91360
Phone number: 805-203-0129
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Mailing Address
DR. BRETT A EGELSKE DDS
253 LOMBARD STREET SUITE C
THOUSAND OAKS, CA 91360
Phone number: 805-206-0129
Copy
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