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1861025868
NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
COVINGTON, LA
NPI
1861025868
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Entity Type
Organization
Authorized Contact
NICOLE JACKSON
Owner
985-893-4882
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
5207 PINNACLE PKWY
COVINGTON, LA 70433-9191
Phone number: 985-893-4882
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Mailing Address
NICOLE JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
5207 PINNACLE PKWY
COVINGTON, LA 70433-9191
Phone number: 985-893-4882
Copy
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