Individual
DR. DAVID MALCOLM JEFFALONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
DENTAC 2410 STANLEY ROAD, SUITE 200J, FORT SAM HOUSTON, TX 78234-6230
(210) 295-2743
(210) 295-2602
Mailing address
2776 RINGGOLD ROAD, FORT SILL DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20740
TX
1223G0001X
General Practice Dentistry
043037
NY
Other
Enumeration date
04/03/2006
Last updated
02/16/2011
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