EDWARD MICHAEL JACKSON

HACKENSACK, NJ
NPI1477640373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NJ  DI 21365)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Dr. EDWARD MICHAEL JACKSON dmd
405 STATE ST
HACKENSACK, NJ 07601-4421
Phone number: 201-487-7030
Mailing Address
Dr. EDWARD MICHAEL JACKSON dmd
249 GREVE DR
NEW MILFORD, NJ 07646-2313
Phone number: 201-265-8879
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