GREGORY TRANDON LEE JEFFERSON

SHELBY, MT
NPI1669109229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MT  25964)
Enumeration Date2022-08-04
Last Update Date2023-08-24
Business Address
GREGORY TRANDON LEE JEFFERSON
865 OILFIELD AVE
SHELBY, MT 59474-2702
Phone number: 406-434-3142
Mailing Address
GREGORY TRANDON LEE JEFFERSON
222 AUSTIN POINT DR
WASHINGTON, NC 27889-5603
Phone number: 910-624-6765