JEREL FREDERIC PHILIP

SANTA CRUZ, CA
NPI1720269947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  38159)
Enumeration Date2007-11-15
Last Update Date2007-11-15
Business Address
-- JEREL FREDERIC PHILIP DMD
4100 PORTOLA DR SUITE 1
SANTA CRUZ, CA 95062
Phone number: 831-475-7739
Mailing Address
-- JEREL FREDERIC PHILIP DMD
4100 PORTOLA DR SUITE 1
SANTA CRUZ, CA 95062
Phone number: 831-475-7739
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