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
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 PracticeGeneral Practice

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