GEOFFREY ALAN JACKSON

TAMPA, FL
NPI1669702304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN 18870)
Additional Taxonomies122300000X Dentist
(Licence: MD  14511)
Enumeration Date2009-12-31
Last Update Date2009-12-31
Business Address
Dr. GEOFFREY ALAN JACKSON DDS
19048 BRUCE B DOWNS BLVD
TAMPA, FL 33647-2434
Phone number: 813-972-1201
Mailing Address
Dr. GEOFFREY ALAN JACKSON DDS
19048 BRUCE B DOWNS BLVD
TAMPA, FL 33647-2434
Phone number: 813-972-1201
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