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1215016829
BRENT THOMAS INGRAM
SAN JOSE, CA
NPI
1215016829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA CA43978)
Enumeration Date
2006-11-03
Last Update Date
2007-07-08
Business Address
Dr. BRENT THOMAS INGRAM DDS
5149 MOORPARK AVE # 101
SAN JOSE, CA 95129
Phone number: 408-996-9393
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Mailing Address
Dr. BRENT THOMAS INGRAM DDS
5149 MOORPARK AVE # 101
SAN JOSE, CA 95129
Phone number: 408-996-9393
Copy
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