Individual
DR. JACKSON PRICE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 CHURCH ST NE, CONCORD, NC 28025-4763
(704) 782-1012
Mailing address
213 CHURCH ST NE, CONCORD, NC 28025-4763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11387
NC
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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