Individual
DR. MARIE M. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
50 ROUTE 15, LAFAYETTE, NJ 07848
(973) 579-7888
(973) 579-7865
Mailing address
FIFTY ROUTE FIFTEEN NORTH, LAFAYETTE, NJ 07848
(973) 579-7888
(973) 579-7865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02414700
NJ
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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