JACKSON FAMILY DENTAL GLADSTONE LLC

GLADSTONE, MO
NPI1194115865
Entity TypeOrganization
Authorized ContactJESSE LYNN JACKSON
Member
816-429-5799
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2015-02-02
Last Update Date2015-02-02
Business Address
JACKSON FAMILY DENTAL GLADSTONE LLC
2109 NE 72ND ST STE 104
GLADSTONE, MO 64118-2304
Phone number: 816-453-3100
Mailing Address
JACKSON FAMILY DENTAL GLADSTONE LLC
2109 NE 72ND ST STE 104
GLADSTONE, MO 64118-2304
Phone number: 816-453-3100
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