Donna Jackson, RDH
NPI #1235403122 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1235403122
- Entity Type
- Individual
- Name
- Donna Jackson, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Feb 24, 2012
Practice Location
- Address
- 558 E MOUNT VERNON BLVD
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-2102
- Phone
- (417) 466-7184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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