LOUIS JACKSON

ALBUQUERQUE, NM
NPI1285040337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: ME  DEN4862)
Enumeration Date2014-07-09
Last Update Date2024-08-15
Business Address
LOUIS JACKSON
8201 GOLF COURSE RD NW
ALBUQUERQUE, NM 87120-5842
Phone number: 505-892-9010
Mailing Address
LOUIS JACKSON
888 BRIGHTON AVE
PORTLAND, ME 04102-1004
Phone number: 207-772-4111