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1912072745
JERRY W. KOLESAR
GLENDALE, CA
NPI
1912072745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 036955)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. JERRY W. KOLESAR D.M.D
1122 N BRAND BLVD STE 102
GLENDALE, CA 91202-2570
Phone number: 818-242-2667
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Mailing Address
Dr. JERRY W. KOLESAR D.M.D
1122 N BRAND BLVD STE 102
GLENDALE, CA 91202-2570
Phone number: 818-242-2667
Copy
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