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1770133977
JEFFREY LELAND ELMER
SAN DIEGO, CA
NPI
1770133977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 11317862-9921)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
JEFFREY LELAND ELMER DMD
2310 CRAVEN ST UNIT 3210
SAN DIEGO, CA 92136-5596
Phone number: 619-556-8240
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Mailing Address
JEFFREY LELAND ELMER DMD
3796 ALBATROSS ST
SAN DIEGO, CA 92103-3925
Phone number: 702-468-9504
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