Berlian Kasili Jeffery, DDS

NPI #1326669854 in Mustang, Oklahoma

Provider Information

NPI Number: 1326669854
Entity Type: Individual
Name: Berlian Kasili Jeffery, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: May 6, 2020
Last Updated: Jul 1, 2025

Practice Location

Address: 5600 S. MUSTANG ROAD
Address 2: SUITE 100
City: Mustang
State: Oklahoma
ZIP Code: 73064
Phone: (405) 755-4826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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