Individual
ROGER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 85259-2646
(480) 860-9700
Mailing address
11144 N FRANK LLOYD WRIGHT BLVD, STE E8, SCOTTSDALE, AZ 85259-2646
(480) 860-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4758
AZ
Other
Enumeration date
04/23/2007
Last updated
02/06/2018
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