| Mark S. Jefferies, Dmd, Plc | |
|
2465 Centreville Rd J-15 Herndon VA 20171-4586 | |
| (703) 793-1771 | |
| Not Available |
| Full Name | Mark S. Jefferies, Dmd, Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2465 Centreville Rd, Herndon, Virginia |
| Authorized Official Name and Position | Mark Steven Jefferies (PRESIDENT) |
| Authorized Official Contact | 7037931771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Jefferies, Dmd, Plc 2465 Centreville Rd J-15 Herndon VA 20171-4586 Ph: (703) 793-1771 | Mark S. Jefferies, Dmd, Plc 2465 Centreville Rd J-15 Herndon VA 20171-4586 Ph: (703) 793-1771 |
| NPI Number | 1922260637 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922260637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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