Individual
JEFFREY DAVID CARL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
917 19TH AVE SE, ALBANY, OR 97322-4228
(541) 926-6089
(541) 926-6196
Mailing address
PO BOX 1986, ALBANY, OR 97321-0515
(541) 926-6089
(541) 926-6196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7214
OR
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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