Individual
DR. JEFFREY G LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2650 21ST ST STE 3, SACRAMENTO, CA 95818-2539
(916) 451-9400
(916) 456-9157
Mailing address
8822 BARRISTER LN, FAIR OAKS, CA 95628-6350
(916) 715-1485
(916) 456-9157
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30381
CA
Other
Enumeration date
07/18/2006
Last updated
01/09/2019
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