Individual
ANN JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 13TH ST, PHILADELPHIA, PA 19107-5463
(215) 732-5000
Mailing address
201 S 13TH ST, PHILADELPHIA, PA 19107-5463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031383
PA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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