Individual
DR. MARK STEVEN JEFFERIES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2465 CENTREVILLE RD STE J15, HERNDON, VA 20171-3026
(703) 793-1771
(703) 793-1789
Mailing address
2465 CENTREVILLE RD STE J15, HERNDON, VA 20171-3026
(703) 793-1771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410740
VA
Other
Enumeration date
11/15/2006
Last updated
11/01/2007
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