Organization
JEFFREY DENTAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKINZIE DAWN JEFFREY DDS (OWNER)
(850) 678-4151
Entity
Organization
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
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/02/2015
Last updated
07/30/2024
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