DENNIS M JACKSON MD INC

SANTA FE, NM
NPI1194969220
Entity TypeOrganization
Authorized ContactDENNIS M JACKSON
President
505-490-9738
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  70142)
Enumeration Date2009-04-20
Last Update Date2009-04-20
Business Address
DENNIS M JACKSON MD INC
460 SAINT MICHAELS DR #1005
SANTA FE, NM 87505-7619
Phone number: 505-490-9738
Mailing Address
DENNIS M JACKSON MD INC
5112 HOLLYWOOD BLVD #111 PMB 106
LOS ANGELES, CA 90027-6126
Phone number: 505-490-9738
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