Lj Dentistry LLC

NPI #1760753362 in Moline, Illinois

Provider Information

NPI Number
1760753362
Entity Type
Organization
Organization Name
Lj Dentistry LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 13, 2012
Last Updated
Jan 13, 2012

Practice Location

Address
2900 41ST ST
City
Moline
ZIP Code
61265-7823
Phone
(309) 764-3242

Authorized Official

Name
DR. JOSEPH D JACKSON, DMD
Title
OWNER/DENTIST
Phone
(309) 764-3242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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