Lloyd Brent Jackson, DMD
NPI #1487785911 in Farmington, New Mexico
Provider Information
- NPI Number
- 1487785911
- Entity Type
- Individual
- Name
- Lloyd Brent Jackson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2700 FARMINGTON AVE
- Address 2
- C -1
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-4559
- Phone
- (505) 327-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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