Individual
DR. PAMELA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3721 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3505
(314) 382-2000
(314) 382-2411
Mailing address
3721 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3505
(314) 382-2000
(314) 382-2411
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014330
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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