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Organization

DAVID B JACKSON DDS MS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELANIE J JACKSON (OFFICE MANAGER)
(231) 739-7657
Entity
Organization

Contact information

Practice address
433 W SEMINOLE ROAD, SUITE #213, MUSKEGON, MI 49444
(231) 739-7657
(231) 737-5107
Mailing address
433 W SEMINOLE ROAD, SUITE #213, MUSKEGON, MI 49444
(231) 739-7657
(231) 737-5107

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
09/06/2006
Last updated
08/22/2020
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