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1104817154
RALPH DUDLEY JACKSON
ALEXANDRIA, LA
NPI
1104817154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: LA 5337)
Enumeration Date
2005-10-31
Last Update Date
2007-07-08
Business Address
Dr. RALPH DUDLEY JACKSON d.d.s.
1400 METRO DR
ALEXANDRIA, LA 71301-3451
Phone number: 318-487-0075
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Mailing Address
Dr. RALPH DUDLEY JACKSON d.d.s.
6201 BRADFORD DR
ALEXANDRIA, LA 71303-2382
Phone number: 318-449-8621
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