Mark S. Jefferies, Dmd, Plc

NPI #1922260637 in Herndon, Virginia

Provider Information

NPI Number: 1922260637
Entity Type: Organization
Organization Name: Mark S. Jefferies, Dmd, Plc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 2465 CENTREVILLE RD
Address 2: J-15
City: Herndon
State: Virginia
ZIP Code: 20171-4586
Phone: (703) 793-1771

Authorized Official

Name: DR. MARK STEVEN JEFFERIES JR., DMD
Title: PRESIDENT
Phone: (703) 793-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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