MONTINA GOLPHIN JACKSON

ATLANTA, GA
NPI1497875504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  dno10785)
Enumeration Date2007-03-30
Last Update Date2007-07-08
Business Address
Dr. MONTINA GOLPHIN JACKSON DMD
2197 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30310-1143
Phone number: 404-699-1919
Mailing Address
Dr. MONTINA GOLPHIN JACKSON DMD
2197 MARTIN LUTHER KING JR DR SW
ATLANTA, GA 30310-1143
Phone number: 404-699-1919
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