W. Jackson Garner D.m.d

NPI #1104251412 in Forestdale, Alabama

Provider Information

NPI Number
1104251412
Entity Type
Organization
Organization Name
W. Jackson Garner D.m.d
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Sep 5, 2013
Last Updated
Sep 5, 2013

Practice Location

Address
2129 FORESTDALE BLVD
State
Alabama
ZIP Code
35214-1523
Phone
(205) 798-6561

Authorized Official

Name
DR. WALTER JACKSON GARNER, D.M.D
Title
DENTIST
Phone
(205) 798-6561

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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