DR. Walter Charles Jackson, DDS, MD

NPI #1255507588 in Metairie, Louisiana

Provider Information

NPI Number
1255507588
Entity Type
Individual
Name
DR. Walter Charles Jackson, DDS, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS, MD
Enumeration Date
May 6, 2008
Last Updated
Jun 17, 2009

Practice Location

Address
4051 VETERANS MEMORIAL BLVD
Address 2
SUITE 200
ZIP Code
70002-5572
Phone
(504) 455-7161

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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