NPI | 1215554639 |
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Doing Business As | DANA C.JACKSON, DDS., PLLC |
Entity Type | Organization |
Authorized Contact | DANA CURTIS JACKSON Owner 301-248-3810 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-07-01 |
Last Update Date | 2020-07-01 |