NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION

COVINGTON, LA
NPI1861025868
Entity TypeOrganization
Authorized ContactNICOLE JACKSON
Owner
985-893-4882
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-02-18
Last Update Date2020-02-18
Business Address
NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
5207 PINNACLE PKWY
COVINGTON, LA 70433-9191
Phone number: 985-893-4882
Mailing Address
NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
5207 PINNACLE PKWY
COVINGTON, LA 70433-9191
Phone number: 985-893-4882
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