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1528287455
MICHAEL J JACKSON
PITTSBURGH, PA
NPI
1528287455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: PA DS020084L)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL J JACKSON DMD
4701 BAPTIST RD SUITE 100
PITTSBURGH, PA 15227-1117
Phone number: 412-884-7757
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Mailing Address
Dr. MICHAEL J JACKSON DMD
609 BROUGHTON RD
BETHEL PARK, PA 15102-3730
Phone number: 412-833-5982
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