DR. Jonathan Brian Jackson, DDS

NPI #1659659621 in Monrovia, California

Provider Information

NPI Number
1659659621
Entity Type
Individual
Name
DR. Jonathan Brian Jackson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 25, 2011
Last Updated
Jul 25, 2011

Practice Location

Address
422 1/2 VIOLET AVE
ZIP Code
91016-6731
Phone
(951) 551-8686

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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