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1992346597
DAVID KEITH JACKSON
SAN DIEGO, CA
NPI
1992346597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA DDS104164)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
Dr. DAVID KEITH JACKSON DMD
19871 MITSCHER WAY
SAN DIEGO, CA 92145-5103
Phone number: 858-577-1825
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Mailing Address
Dr. DAVID KEITH JACKSON DMD
1120 LOCHWOOD PL
ESCONDIDO, CA 92026-4044
Phone number: 858-531-0829
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