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Individual

DR. BRETT A EGELSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
253 LOMBARD STREET, SUITE C, THOUSAND OAKS, CA 91360
(805) 203-0129
(805) 777-8727
Mailing address
253 LOMBARD STREET, SUITE C, THOUSAND OAKS, CA 91360
(805) 206-0129
(805) 777-8727

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12009348A
IN
122300000X
Dentist
Primary
54064
CA

Other

Enumeration date
12/13/2007
Last updated
09/22/2016
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