DR. Lue Dee Jackson JR., DMD, MD

NPI #1568623841 in Roxbury, Massachusetts

Provider Information

NPI Number: 1568623841
Entity Type: Individual
Name: DR. Lue Dee Jackson JR., DMD, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD, MD
Enumeration Date: Jun 19, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 386 A-B WARREN STREET
City: Roxbury
State: Massachusetts
ZIP Code: 02119
Phone: (800) 676-2750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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