HENRY LEE JACKSON

WINSTON SALEM, NC
NPI1699213959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  10922)
Enumeration Date2017-02-07
Last Update Date2018-10-23
Business Address
Dr. HENRY LEE JACKSON DDS
334 E HANES MILL RD
WINSTON SALEM, NC 27105-9135
Phone number: 336-450-2077
Mailing Address
Dr. HENRY LEE JACKSON DDS
145 CROWNE CHASE DR APT 16
WINSTON SALEM, NC 27104-3582
Phone number: 631-671-1137
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