| NPI | 1922318195 |
|---|---|
| Doing Business As | JACKSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ALFRED MANWUEL JACKSON Owner 704-464-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 8527) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2024-10-02 |