Individual
CLARK D JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GENERAL DENTIST
Contact information
Practice address
300 S MARKET ST, MARTINSBURG, PA 16662-1004
(814) 793-2713
Mailing address
205 E CHRISTIANA ST, MARTINSBURG, PA 16662-1221
(814) 793-2713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030843L
PA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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