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1275517781
BENITA S. JACKSON
NASHVILLE, TN
NPI
1275517781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS7142)
Enumeration Date
2005-11-30
Last Update Date
2011-09-27
Business Address
-- BENITA S. JACKSON D.D.S.
617 WOODLAND ST
NASHVILLE, TN 37206-4211
Phone number: 615-256-2321
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Mailing Address
-- BENITA S. JACKSON D.D.S.
617 WOODLAND ST
NASHVILLE, TN 37206-4211
Phone number: 615-299-5666
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