Jeffrey Joe DMD

NPI 1083697148 - Dentist - 122300000X

NPI Details
NPI 1083697148
Gender Male
Enumeration Date 11/22/2005
Last Updated 01/09/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1121 HAMMOND ST
MODESTO CA, 95351-3509, US
Phone (209) 576-4437
Fax (209) 576-4494
Business Location
737 W CHILDS AVE
MERCED CA, 95340-6805, US
Phone (209) 383-1848
Fax (209) 384-3966
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 29831
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According to our database, Dr. Jeffrey Joe DMD NPI is 1083697148, taxonomy code is 122300000X and license number is 29831, license state is located at California. Jeffrey Joe DMD physically located at 1121 Hammond St, Modesto CA, 95351-3509. NPI Number Jeffrey Joe DMD has the Individual type.

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1083697148 NPI number is provided on an as is basis without warranty of any kind. 1083697148 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Joe DMD are for informational purposes only.