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Organization
KM JEFFERS DENTAL CORP
Active
Organization
KM JEFFERS DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW P JEFFERS D.D.S. (PARTNER)
(707) 462-2993
Entity
Organization
Contact information
Practice address
1119 S STATE ST, UKIAH, CA 95482-6426
(707) 462-2993
(707) 462-3999
Mailing address
1119 S STATE ST, UKIAH, CA 95482-6426
(707) 462-2993
(707) 462-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62628
CA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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