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Organization
JEFFERS DENTISTRY PARTNERSHIP
Active
Organization
JEFFERS DENTISTRY PARTNERSHIP
Active
Other names
Jeffers Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN TODD JEFFERS D.D.S. (PARTNER)
(707) 528-6343
Entity
Organization
Contact information
Practice address
1820 SONOMA AVE STE 42, SANTA ROSA, CA 95405-6617
(707) 528-6343
(707) 528-0316
Mailing address
1820 SONOMA AVE STE 42, SANTA ROSA, CA 95405-6617
(707) 528-6343
(707) 528-0316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51942
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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