Individual
DR. JEFFERY KEITH JUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 E REED AVE, MANITOWOC, WI 54220-2123
(920) 682-7616
(920) 682-4361
Mailing address
340 E REED AVE, MANITOWOC, WI 54220-2123
(920) 682-7616
(920) 682-4361
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
39999-015
WI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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