Organization
JDM DENTAL, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D MAURER (DENTIST)
(804) 748-8677
Entity
Organization
Contact information
Practice address
4516 W HUNDRED RD, CHESTER, VA 23831-1740
(804) 909-5709
(804) 748-8053
Mailing address
4516 W HUNDRED RD, CHESTER, VA 23831-1740
(804) 909-5709
(804) 748-8053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411812
VA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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