TANISHA A JACKSON

IRVINE, CA
NPI1629183777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  47103)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Dr. TANISHA A JACKSON DDS
2860 MICHELLE 2ND FLOOR
IRVINE, CA 92606-1009
Phone number: 714-508-3600
Mailing Address
Dr. TANISHA A JACKSON DDS
422 ORANGE ST
REDLANDS, CA 92374-3206
Phone number: 909-792-7500