Individual
DR. GEORGE F. JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N MAIN ST STE 5, LANSING, KS 66043-1315
(913) 727-5522
Mailing address
1000 N MAIN ST STE 5, LANSING, KS 66043-1315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6594
KS
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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