Individual
DR. TERRY LEE EGGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 MISSION CIR, SUITE 104, SANTA ROSA, CA 95409-5398
(707) 538-7600
(707) 538-7696
Mailing address
55 MISSION CIR, SUITE 104, SANTA ROSA, CA 95409-5398
(707) 538-7600
(707) 538-7696
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30067
CA
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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