Taisha Jackson, RDH/PHDH

NPI #1316761026 in Chatham, Massachusetts

Provider Information

NPI Number: 1316761026
Entity Type: Individual
Name: Taisha Jackson, RDH/PHDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH/PHDH
Enumeration Date: Nov 9, 2024
Last Updated: Nov 9, 2024

Practice Location

Address: 76 AGNES LN
City: Chatham
State: Massachusetts
ZIP Code: 02633-1502
Phone: (508) 237-5378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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