Organization
DRS JEFFORDS & OFFUTT, PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LETICIA G JEFFORDS D.D.S., MS (OWNER)
(210) 692-1919
Entity
Organization
Contact information
Practice address
14603 HUEBNER RD, STE 701 BLDG 7, SAN ANTONIO, TX 78230-5476
(210) 692-1919
(210) 692-7477
Mailing address
14603 HUEBNER RD., STE 701 BLDG 7, SAN ANTONIO, TX 78230-5476
(210) 692-1919
(210) 692-7477
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009659601
—
TX
Enumeration date
09/25/2006
Last updated
06/24/2009
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