DR. Jerry W. Kolesar, D.M.D
NPI #1912072745 in Glendale, California
Provider Information
- NPI Number
- 1912072745
- Entity Type
- Individual
- Name
- DR. Jerry W. Kolesar, D.M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1122 N BRAND BLVD STE 102
- City
- Glendale
- State
- California
- ZIP Code
- 91202-2570
- Phone
- (818) 242-2667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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