BRIAN JAMES JACKSON

OLYMPIA, WA
NPI1770655979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: WA  6128)
Enumeration Date2006-11-14
Last Update Date2008-10-07
Business Address
-- BRIAN JAMES JACKSON DDS
3924 MARTIN WAY E
OLYMPIA, WA 98506-5220
Phone number: 360-456-8610
Mailing Address
-- BRIAN JAMES JACKSON DDS
3924 MARTIN WAY E
OLYMPIA, WA 98506-5220
Phone number: 360-456-8610
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