CHARLES B JACKSON, JR.

SANDY, UT
NPI1972563690
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT  142729-9921)
Enumeration Date2006-03-25
Last Update Date2007-07-08
Business Address
Dr. CHARLES B JACKSON, JR. DDS, MSD
669 UNION SQ
SANDY, UT 84070-3404
Phone number: 801-571-1231
Mailing Address
Dr. CHARLES B JACKSON, JR. DDS, MSD
669 UNION SQ
SANDY, UT 84070-3404
Phone number: 801-571-1231
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