DR. Larry Tyler Jackson, D.D.S.
NPI #1396186276 in Peoria, Arizona
Provider Information
- NPI Number
- 1396186276
- Entity Type
- Individual
- Name
- DR. Larry Tyler Jackson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Jul 8, 2013
- Last Updated
- Apr 7, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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