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Organization
JACKSON AND LEE DENTAL CORPORATION
Active
Organization
JACKSON AND LEE DENTAL CORPORATION
Active
Other names
PLAZA DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JACKSON DDS (OWNER DDS)
(951) 461-4306
Entity
Organization
Contact information
Practice address
40484 MURRIETA HOT SPRINGS RD, STE. 102, MURRIETA, CA 92563-6400
(951) 461-4306
(951) 461-4735
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
05/11/2022
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