Christopher R Jackson

NPI #1003478629 in Odessa, Texas

Provider Information

NPI Number: 1003478629
Entity Type: Individual
Name: Christopher R Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2019
Last Updated: Jan 18, 2025

Practice Location

Address: 3930 TANGLEWOOD LN
City: Odessa
State: Texas
ZIP Code: 79762-7165
Phone: (432) 366-0896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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