Organization
MARCUS K. JACKSON, DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS JACKSON DDS (OWNER)
(504) 466-2392
Entity
Organization
Contact information
Practice address
8847 VETERANS MEMORIAL BLVD STE 8, METAIRIE, LA 70003-7707
(504) 466-2392
(504) 466-2399
Mailing address
8847 VETERANS MEMORIAL BLVD STE 8, METAIRIE, LA 70003-7707
(504) 466-2392
(504) 466-2399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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