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1841396108
OPHELIA FAYE JACKSON
NEW YORK, NY
NPI
1841396108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 047262-1)
Enumeration Date
2006-09-15
Last Update Date
2015-01-13
Business Address
Dr. OPHELIA FAYE JACKSON DDS
429 W 24TH ST
NEW YORK, NY 10011-1225
Phone number: 516-459-4739
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Mailing Address
Dr. OPHELIA FAYE JACKSON DDS
429 W 24TH ST
NEW YORK, NY 10011-1225
Phone number: 516-459-4739
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