Provider First Line Business Practice Location Address:
JEFFERSON DENTAL & ORTHODONTICS
Provider Second Line Business Practice Location Address:
4396 TOM LANDRY FWY, I-30
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-451-2424
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2023