DR. Darrell G. Jackson, D.D.S.

NPI #1093707663 in Alamosa, Colorado

Provider Information

NPI Number
1093707663
Entity Type
Individual
Name
DR. Darrell G. Jackson, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 18, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2405 MULLINS AVE
ZIP Code
81101-4260
Phone
(719) 589-5272

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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