CHARLES JACKSON

JACKSON HEIGHTS, NY
NPI1982769840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  35470)
Enumeration Date2006-12-22
Last Update Date2007-07-08
Business Address
Dr. CHARLES JACKSON DMD
3540 82ND ST
JACKSON HEIGHTS, NY 11372-5159
Phone number: 718-446-7100
Mailing Address
Dr. CHARLES JACKSON DMD
3540 82ND ST
JACKSON HEIGHTS, NY 11372-5159
Phone number: 718-446-7100
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