Brent Jackson, D.D.S.

NPI #1447665013 in Lapeer, Michigan

Provider Information

NPI Number
1447665013
Entity Type
Individual
Name
Brent Jackson, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jun 23, 2014
Last Updated
Jun 23, 2014

Practice Location

Address
456 S MAIN ST
City
Lapeer
ZIP Code
48446-2427
Phone
(810) 667-3535

Specialties & Taxonomy Codes

Specialty
Dentist

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