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1447240825
BETHANIEL JEFFERSON
HOUSTON, TX
NPI
1447240825
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Former Name
BETHANIEL S JEFFERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TX 21310)
Enumeration Date
2005-10-26
Last Update Date
2010-12-03
Business Address
DR. BETHANIEL JEFFERSON DDS
15531 KUYKENDAHL RD 180
HOUSTON, TX 77090-3645
Phone number: 281-895-7787
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Mailing Address
DR. BETHANIEL JEFFERSON DDS
15531 KUYKENDAHL RD 180
HOUSTON, TX 77090-3645
Phone number:
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