E PENN JACKSON

SAN ANTONIO, TX
NPI1699864140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  14069)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Dr. E PENN JACKSON DDS
155 E SONTERRA BLVD #205
SAN ANTONIO, TX 78258
Phone number: 210-341-3222
Mailing Address
Dr. E PENN JACKSON DDS
155 E SONTERRA BLVD #205
SAN ANTONIO, TX 78258
Phone number: 210-341-3222