Individual
DR. JEFFREY BRADFORD MOKRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1700 FIRST BAXTER XING, SUITE 201, FORT MILL, SC 29708-8948
(803) 547-0301
Mailing address
3289 RICHARDS XING, FORT MILL, SC 29708-8910
(803) 818-0783
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7002
SC
Other
Enumeration date
07/09/2008
Last updated
12/04/2012
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