Individual
DR. MELISSA SHAREE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1307 DOVE ST, MONROE, NC 28112-5068
(704) 282-9961
Mailing address
1307 DOVE ST, MONROE, NC 28112-5068
(704) 282-9961
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8313
NC
Other
Enumeration date
03/16/2009
Last updated
07/19/2011
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