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1669539292
BRAD EDWARD PEZOLDT
MODESTO, CA
NPI
1669539292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 41206)
Enumeration Date
2007-01-02
Last Update Date
2009-08-11
Business Address
Dr. BRAD EDWARD PEZOLDT DDS MSD
1316 COFFEE RD STE D10
MODESTO, CA 95355-3191
Phone number: 209-524-2988
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Mailing Address
Dr. BRAD EDWARD PEZOLDT DDS MSD
4320 ALSACE LN
MODESTO, CA 95356-8945
Phone number: 209-524-2988
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