| NPI | 1417339185 |
|---|---|
| Other Name | JACKSON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES ANDREW JACKSON O 662-895-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 3811-15) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |