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1053690453
JEFFREY BROUGHTON INGALLS
LARGO, FL
NPI
1053690453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL DN27659)
Enumeration Date
2011-08-16
Last Update Date
2024-02-22
Business Address
Dr. JEFFREY BROUGHTON INGALLS D.M.D.
168 14TH ST SW STE B
LARGO, FL 33770-6103
Phone number: 727-585-5494
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Mailing Address
Dr. JEFFREY BROUGHTON INGALLS D.M.D.
168 14TH ST SW STE B
LARGO, FL 33770-6103
Phone number: 727-585-5494
Copy
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