NPI | 1689762569 |
---|---|
Doing Business As | RICHARD F. JACKSON, DDS, GREGORY HEISE, DDS, AND CRAIG ALPHA, DDS |
Entity Type | Organization |
Authorized Contact | MARGARET JACKSON Office Administrator 916-961-0570 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 24465) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2012-11-26 |