| NPI | 1124157847 |
|---|---|
| Other Name | DR ANDREW LEE JACKSON DMD DR CELESTINE VERNEDOE DMD |
| Entity Type | Organization |
| Authorized Contact | ANDREW LEE JACKSON Owner President 912-283-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9939) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 9840) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-02-12 |