Organization
MABLETON DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLLIN B. JACKSON JR. DDS (DENTIST, OWNER)
(770) 944-8700
Entity
Organization
Contact information
Practice address
5841 MABLETON PKWY, MABLETON, GA 30126
(770) 944-8700
(770) 819-1190
Mailing address
PO BOX 1159, MABLETON, GA 30126
(770) 944-8700
(770) 819-1190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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