DOUGLASS JACKSON

SEATTLE, WA
NPI1649369802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DF30000048)
Enumeration Date2006-10-12
Last Update Date2007-07-09
Business Address
-- DOUGLASS JACKSON DMD
1959 NE PACIFIC ST HSB-B221
SEATTLE, WA 98195-0001
Phone number: 206-685-2937
Mailing Address
-- DOUGLASS JACKSON DMD
1959 NE PACIFIC ST PO BOX 357131
SEATTLE, WA 98195-0001
Phone number: 206-685-2937
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