Organization
JEFFREY A. ENGLESTADTER, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A ENGLESTADTER DMD (PRESIDENT)
(541) 883-7409
Entity
Organization
Contact information
Practice address
2800 FOOTHILLS BLVD, KLAMATH FALLS, OR 97603-3768
(541) 883-7409
(541) 850-8672
Mailing address
2800 FOOTHILLS BLVD, KLAMATH FALLS, OR 97603-3768
(541) 883-7409
(541) 850-8672
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7225
OR
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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