MARLON B JACKSON

ATLANTA, GA
NPI1558423491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  9878)
Enumeration Date2006-12-15
Last Update Date2013-02-20
Business Address
-- MARLON B JACKSON D.D.S
1046 RIDGE AVE SW SUITE 1
ATLANTA, GA 30315-1640
Phone number: 404-681-3834
Mailing Address
-- MARLON B JACKSON D.D.S
210 AUBURN AVE NE SUITE 1
ATLANTA, GA 30303-2610
Phone number: 404-681-3834
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