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Organization
TONJOLIQUE J. JACKSON DDS, PC
Active
Organization
TONJOLIQUE J. JACKSON DDS, PC
Active
Other names
Shine Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONJOLIQUE JAMES JACKSON DDS (OWNER)
(972) 293-8033
Entity
Organization
Contact information
Practice address
950 E BELT LINE RD, SUITE 130, CEDAR HILL, TX 75104-2422
(972) 293-8033
(972) 293-8028
Mailing address
950 E BELT LINE RD, SUITE 130, CEDAR HILL, TX 75104-2422
(972) 293-8033
(972) 293-8028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23084
TX
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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