Cynthia L Jackson DDS Ms INC

NPI #1962511659 in Alpine, California

Provider Information

NPI Number
1962511659
Entity Type
Organization
Organization Name
Cynthia L Jackson DDS Ms INC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Aug 29, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1620 ALPINE BLVD
Address 2
STE 212
City
Alpine
ZIP Code
91901-1105
Phone
(619) 445-8883

Authorized Official

Name
MS. CYNTHIA LEE JACKSON, DDS MS
Title
OWNER
Phone
(619) 445-8883

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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