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1750656203
JULIA L. JACKSON DMD LLC
PHILADELPHIA, PA
NPI
1750656203
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Entity Type
Organization
Authorized Contact
JULIA L JACKSON
CEO
215-906-5052
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA ds038263)
Enumeration Date
2012-03-16
Last Update Date
2012-03-16
Business Address
JULIA L. JACKSON DMD LLC
900 E WADSWORTH AVE
PHILADELPHIA, PA 19150-3417
Phone number: 215-247-6962
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Mailing Address
JULIA L. JACKSON DMD LLC
900 E WADSWORTH AVE
PHILALDEPHIA, PA 19150
Phone number: 215-247-6962
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