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Organization
LLOYD BRENT JACKSON DMD PALLC
Active
Organization
LLOYD BRENT JACKSON DMD PALLC
Active
Other names
Farmington Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD BRENT JACKSON DMD (OWNER DENTIST)
(505) 327-0044
Entity
Organization
Contact information
Practice address
2700 FARMINGTON AVE, SUITE C-1, FARMINTON, NM 87401-4550
(505) 327-0044
(505) 325-0817
Mailing address
2700 FARMINGTON AVE, SUITE C-1, FARMINTON, NM 87401-4550
(505) 327-0044
(505) 325-0817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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