DENNIS W. JACKSON

EDGEWOOD, NM
NPI1881999761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD2699)
Enumeration Date2011-01-24
Last Update Date2011-01-24
Business Address
Dr. DENNIS W. JACKSON D.D.S.
164 SQUARE H RD
EDGEWOOD, NM 87015-9538
Phone number: 505-610-7885
Mailing Address
Dr. DENNIS W. JACKSON D.D.S.
164 SQUARE H RD
EDGEWOOD, NM 87015-9538
Phone number: 505-610-7885
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