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1346357241
JEFF E CHILDRETH
MEDFORD, OR
NPI
1346357241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7790)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. JEFF E CHILDRETH DMD
1150 CRATER LAKE AVE STE E
MEDFORD, OR 97504-6213
Phone number: 541-772-8846
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Mailing Address
Dr. JEFF E CHILDRETH DMD
1150 CRATER LAKE AVE STE E
MEDFORD, OR 97504-6213
Phone number: 541-772-8846
Copy
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