Individual
JEFFERSON VANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
38 E DECATUR AVE, PLEASANTVILLE, NJ 08232-3009
(609) 641-0016
(609) 641-9508
Mailing address
38 E DECATUR AVE, PLEASANTVILLE, NJ 08232-3009
(609) 641-0016
(609) 641-9508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01223100
NJ
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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