Fred Egelston, DDS

NPI 1053443200 · on the registry since 2007 · sole proprietor

Practice

Address: 6501 Crown Blvd Ste 202
San Jose, CA 95120
Phone: (408) 268-7000
Fax: (408) 268-8590
Organisation at this address: D. Thomas Urban M.D., Inc
Rottjakob Dental Corporation
Children'S Therapy Center, Co.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California