Individual
DR. JEFFERSON B DAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 N JACOB DR, BLOOMINGTON, IN 47404-4823
(812) 323-7400
Mailing address
7124 SUNNY GLEN WAY, SAN GABRIEL, CA 91775-1125
(626) 297-6588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014493A
IN
Other
Enumeration date
04/08/2024
Last updated
06/14/2024
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