Individual
DR. JEFFREY L EZEKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3301 HAMPTON HWY, SUITE M, YORKTOWN, VA 23693
(757) 867-5003
(757) 867-5006
Mailing address
3301 HAMPTON HWY, SUITE M, YORKTOWN, VA 23693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007624
VA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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