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Organization
JEFFREY P ALEXANDER DDS A DENTAL CORP
Active
Organization
JEFFREY P ALEXANDER DDS A DENTAL CORP
Active
Other names
Youthful Tooth
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALEXANDER DDS (OWNER)
(510) 568-3577
Entity
Organization
Contact information
Practice address
8201 EDGEWATER DR, SUITE 105 &106, OAKLAND, CA 94621
(510) 568-3577
(510) 568-8178
Mailing address
PO BOX 14266, OAKLAND, CA 94614
(510) 568-3577
(510) 568-8178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93765
—
CA
Enumeration date
12/18/2006
Last updated
11/30/2007
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