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Individual
DR. WILLIAM CLINTON JEFFREY
Active
Individual
DR. WILLIAM CLINTON JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401410953
STATE LICENSE
VA
01
—
8555
KY DENTAL LICENSE
KY
Enumeration date
05/30/2006
Last updated
03/05/2008
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