LLOYD BRENT JACKSON

FARMINGTON, NM
NPI1487785911
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD2248)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- LLOYD BRENT JACKSON DMD
2700 FARMINGTON AVE C -1
FARMINGTON, NM 87401-4559
Phone number: 505-327-0044
Mailing Address
-- LLOYD BRENT JACKSON DMD
2700 FARMINGTON AVE C -1
FARMINGTON, NM 87401-4559
Phone number: 505-327-0044
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