DOUGLAS WAYNE JACKSON

TULSA, OK
NPI1245367655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  3534)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
-- DOUGLAS WAYNE JACKSON DDS
5540 S 79TH E PLACE
TULSA, OK 74145-7846
Phone number: 918-663-0284
Mailing Address
-- DOUGLAS WAYNE JACKSON DDS
5540 S 79TH E PLACE
TULSA, OK 74145-7846
Phone number: 918-663-0284
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