Individual
DR. MICHAEL K JEFFERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 692-5533
Mailing address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 692-5533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01675600
NJ
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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