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1902669252
CLAYTON JACKSON
SAN ANTONIO, TX
NPI
1902669252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 390200000X)
Enumeration Date
2024-01-31
Last Update Date
2024-01-31
Business Address
CLAYTON JACKSON
8410 DATAPOINT DR
SAN ANTONIO, TX 78229-3220
Phone number: 210-949-8900
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Mailing Address
CLAYTON JACKSON
8410 DATAPOINT DR
SAN ANTONIO, TX 78229-3220
Phone number:
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