DR. Charles B Jackson, Jr., DDS, MSD

NPI #1972563690 in Sandy, Utah

Provider Information

NPI Number
1972563690
Entity Type
Individual
Name
DR. Charles B Jackson, Jr., DDS, MSD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS, MSD
Enumeration Date
Mar 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
669 UNION SQ
City
Sandy
State
Utah
ZIP Code
84070-3404
Phone
(801) 571-1231

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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