DR. Dennis W. Jackson, D.D.S.
NPI #1881999761 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1881999761
- Entity Type
- Individual
- Name
- DR. Dennis W. Jackson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jan 24, 2011
- Last Updated
- Jan 24, 2011
Practice Location
- Address
- 164 SQUARE H RD
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-9538
- Phone
- (505) 610-7885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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