MICHAEL D JACKSON

LAWTON, OK
NPI1801898648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  OK4831)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
Dr. MICHAEL D JACKSON D.D.S
309 N. SHERIDAN RD
LAWTON, OK 73505
Phone number: 580-357-7878
Mailing Address
Dr. MICHAEL D JACKSON D.D.S
910 NW MICKLEGATE BLVD
LAWTON, OK 73505-4134
Phone number: 580-536-1219
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