Jackson Pediatric Dentistry PC
NPI #1588158539 in Jackson, New Jersey
Provider Information
- NPI Number
- 1588158539
- Entity Type
- Organization
- Organization Name
- Jackson Pediatric Dentistry PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 21, 2018
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 2064 W COUNTY LINE RD
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2014
- Phone
- (732) 637-9805
Authorized Official
- Name
- DR. JACQUELINE MIKHLY, DDS
- Title
- OWNER
- Phone
- (917) 974-8445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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