Individual
DR. DAWN A JACKSON-BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
405 E PARK ST, BENTON, IL 62812-1971
(618) 439-4391
(618) 439-7410
Mailing address
405 E PARK ST, BENTON, IL 62812-1971
(618) 439-4391
(618) 439-7410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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