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1194854901
ARLITA D JACKSON
AUSTELL, GA
NPI
1194854901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA Dn11004)
Enumeration Date
2007-03-05
Last Update Date
2012-05-23
Business Address
Dr. ARLITA D JACKSON D.M.D.
1790 MULKEY RD BLDG 4
AUSTELL, GA 30106-1103
Phone number: 770-739-4400
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Mailing Address
Dr. ARLITA D JACKSON D.M.D.
1790 MULKEY RD STE4
AUSTELL, GA 30106-1122
Phone number: 770-739-4400
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