Individual
DR. JACK NELSON HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
72880 FRED WARING DR STE D16, PALM DESERT, CA 92260-9377
(760) 568-3421
(760) 568-0731
Mailing address
72880 FRED WARING DR STE D16, PALM DESERT, CA 92260-9377
(760) 568-3421
(760) 568-0731
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26415
CA
Other
Enumeration date
09/11/2008
Last updated
11/24/2008
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