Individual
ALEX J. JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
304 GLEN AVE, VALPARAISO, FL 32580-1233
(850) 678-4151
Mailing address
304 GLEN AVE, VALPARAISO, FL 32580-1233
(850) 678-4151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21401
FL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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