Lloyd Brent Jackson Dmd Pallc
NPI #1336243476 in Farminton, New Mexico
Provider Information
- NPI Number
- 1336243476
- Entity Type
- Organization
- Organization Name
- Lloyd Brent Jackson Dmd Pallc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2700 FARMINGTON AVE
- Address 2
- SUITE C-1
- City
- Farminton
- State
- New Mexico
- ZIP Code
- 87401-4550
- Phone
- (505) 327-0044
Authorized Official
- Name
- DR. LLOYD BRENT JACKSON, DMD
- Title
- OWNER DENTIST
- Phone
- (505) 327-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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