Individual
RICHIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
926 SKIPPACK PIKE, BLUE BELL, PA 19422-1535
(267) 671-7333
Mailing address
926 SKIPPACK PIKE, BLUE BELL, PA 19422-1535
(267) 671-7333
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH000484
PA
124Q00000X
Dental Hygienist
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—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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