Organization
MARK S. JEFFERIES, DMD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN JEFFERIES JR. DMD (PRESIDENT)
(703) 793-1771
Entity
Organization
Contact information
Practice address
2465 CENTREVILLE RD, J-15, HERNDON, VA 20171-4586
(703) 793-1771
Mailing address
2465 CENTREVILLE RD, J-15, HERNDON, VA 20171-4586
(703) 793-1771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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