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Organization

ALBERT L. JACKSON DDS

Active
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Organization

ALBERT L. JACKSON DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT L JACKSON DDS (DENTIST /OWNER)
(312) 368-1600
Entity
Organization

Contact information

Practice address
30 N MICHIGAN AVE, SUITE 1803, CHICAGO, IL 60602-3402
(312) 368-1600
(312) 368-1542
Mailing address
30 N MICHIGAN AVE, SUITE 1803, CHICAGO, IL 60602-3402
(312) 368-1600
(312) 368-1542

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019011493
IL

Other

Enumeration date
02/26/2008
Last updated
02/26/2008
About Stedi
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