MARYAM JACKSON

SANTA ANA, CA
NPI1528247061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  56397)
Enumeration Date2007-11-01
Last Update Date2011-03-25
Business Address
Dr. MARYAM JACKSON
2701 W 1ST ST
SANTA ANA, CA 92703-3443
Phone number: 714-973-2022
Mailing Address
Dr. MARYAM JACKSON
677 S TWIN OAKS VALLEY RD
SAN MARCOS, CA 92078-7309
Phone number: 800-417-4444