Organization · Type 2 NPI

Jefferson Dental

General Practice Dentistry · La Quinta, CA

NPI number 1154638500 Active

About NPI 1154638500

Jefferson Dental's National Provider Identifier is 1154638500, issued on Sep 7, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Quinta, CA. The record was last updated on Sep 7, 2010.