Organization
JEFFERY-MOHR DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL R. JEFFERY D.D.S. (PRESIDENT)
(419) 238-5810
Entity
Organization
Contact information
Practice address
685 FOX RD, SUITE 103, VAN WERT, OH 45891-2471
(419) 238-5810
(419) 238-9802
Mailing address
685 FOX RD, SUITE 103, VAN WERT, OH 45891-2471
(419) 238-5810
(419) 238-9802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14382
OH
122300000X
Dentist
30-022173
OH
Other
Enumeration date
04/23/2007
Last updated
09/23/2014
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