Individual
DR. JESSICA UNTERKOFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 E POINTE CT, ENTERPRISE, AL 36330-1392
(334) 347-3061
Mailing address
113 PATRIOT PL, DOTHAN, AL 36305-7336
(334) 797-6103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6299
AL
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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