DR. Ralph L Jackson, DDS

NPI #1508869231 in Cornelia, Georgia

Provider Information

NPI Number: 1508869231
Entity Type: Individual
Name: DR. Ralph L Jackson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 26, 2005
Last Updated: Mar 11, 2009

Practice Location

Address: 105 HIGHLAND AVE
City: Cornelia
State: Georgia
ZIP Code: 30531-4366
Phone: (706) 778-8645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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