Anthony Jackson, DDS
NPI #1730218132 in River Ridge, Louisiana
Provider Information
- NPI Number
- 1730218132
- Entity Type
- Individual
- Name
- Anthony Jackson, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9541 JEFFERSON HWY
- City
- River Ridge
- State
- Louisiana
- ZIP Code
- 70123-2507
- Phone
- (504) 738-1567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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