Organization
JEFFREY L EZEKIEL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L EZEKIEL DDS (OWNER)
(757) 867-5003
Entity
Organization
Contact information
Practice address
3301 HAMPTON HWY STE M, YORKTOWN, VA 23693-2967
(757) 867-5003
(757) 867-5006
Mailing address
3301 HAMPTON HWY STE M, YORKTOWN, VA 23693-2967
(757) 867-5003
(757) 867-5006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007624
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803532
—
VA
Enumeration date
03/07/2008
Last updated
03/07/2008
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