| NPI | 1710109756 |
|---|---|
| Doing Business As | JACKSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH C. JACKSON Orthodontist 727-397-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN5413) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |