Fanny Jackson, RDH
NPI #1679943245 in Palm Springs, Florida
Provider Information
- NPI Number
- 1679943245
- Entity Type
- Individual
- Name
- Fanny Jackson, RDH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Hygienist
- Credential
- RDH
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
- Address
- 2601 10TH AVE N
- Address 2
- SUITE 1000
- City
- Palm Springs
- State
- Florida
- ZIP Code
- 33461-3141
- Phone
- (561) 642-1008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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