Individual
DR. JEFFERY W. KAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 W MAIN ST, UNION CITY, TN 38261-2131
(530) 339-1264
Mailing address
201 W MAIN ST, UNION CITY, TN 38261-2131
(530) 339-1264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10123
TN
122300000X
Dentist
44905
CA
1223G0001X
General Practice Dentistry
28233
TX
Other
Enumeration date
07/17/2006
Last updated
07/29/2015
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