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1790045599
REMIGIUS JACKSON
AUSTIN, TX
NPI
1790045599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 27911)
Enumeration Date
2012-05-25
Last Update Date
2012-08-08
Business Address
Dr. REMIGIUS JACKSON DDS
12101 DESSAU RD APT 1108
AUSTIN, TX 78754-2073
Phone number: 337-274-1370
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Mailing Address
Dr. REMIGIUS JACKSON DDS
12101 DESSAU RD APT 1108
AUSTIN, TX 78754-2073
Phone number: 337-274-1370
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