| NPI | 1548373012 |
|---|---|
| Doing Business As | JACKSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MIRIAM TYGIER FURLONG Owner 732-942-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI20248) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |