BRENT THOMAS INGRAM

SAN JOSE, CA
NPI1215016829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  CA43978)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Dr. BRENT THOMAS INGRAM DDS
5149 MOORPARK AVE # 101
SAN JOSE, CA 95129
Phone number: 408-996-9393
Mailing Address
Dr. BRENT THOMAS INGRAM DDS
5149 MOORPARK AVE # 101
SAN JOSE, CA 95129
Phone number: 408-996-9393
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