Individual
DR. DAVID PAUL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3393 IRIS AVE, SUITE #103, BOULDER, CO 80301
(303) 447-2872
(303) 447-2896
Mailing address
3393 IRIS AVE, SUITE #103, BOULDER, CO 80301
(303) 447-2872
(303) 447-2896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6979
CO
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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