| NPI | 1023699048 |
|---|---|
| Doing Business As | JEFFESON DENTAL |
| Entity Type | Organization |
| Authorized Contact | SYEDA SHABNAM HUQ Owner/ Dentist 760-775-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-26 |