NPI | 1679795116 |
---|---|
Doing Business As | JACKSON DENTAL |
Entity Type | Organization |
Authorized Contact | JEANNIE SCHLESINGER Manager 732-367-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |